Breast cancer touches millions of people around the globe, presenting physical and emotional hurdles and also raising concerns about fertility. According to the World Health Organization , breast cancer is the most common cancer among women globally, with approximately 2.3 million new cases diagnosed each year.  Although breast cancer is a challenging diagnosis for anyone, it can be particularly daunting for young women who would like biological children but haven’t yet started or completed their families. It’s essential to understand the impact of breast cancer on fertility and to explore preservation options, like egg or embryo freezing.  If you’ve been diagnosed with breast cancer, ask your oncology team  as soon as possible for information about your recommended treatment plan, how it can impact your fertility, and your available options. Read on to learn how breast cancer treatment intersects with fertility  and the options available for those hoping to have children. The Impact of Breast Cancer Treatment on Fertility Breast cancer treatments, including chemotherapy, radiation, and hormonal therapy, can significantly impact a woman’s ability to conceive. Some cancer treatments can lead to temporary or permanent infertility in premenopausal women. Chemotherapy Many chemotherapy drugs have the potential to harm the ovaries, which can significantly decrease the number of viable eggs essential for fertility. As a result, women undergoing chemotherapy may be less likely to conceive.  In some cases, this ovarian damage can be severe enough to lead to premature ovarian failure, a condition where the ovaries stop functioning correctly before the age of 40. This can lead to early menopause in some cases, with associated symptoms such as hot flashes, night sweats, and infertility. The impact of chemotherapy on ovarian health underscores the importance of discussing fertility preservation options with healthcare providers before starting treatment. Radiation Therapy For individuals whose breast cancer has metastasized to areas requiring radiation near the pelvic region, there are significant considerations regarding fertility.  Radiation therapy targeting the pelvic area can damage reproductive organs, which may adversely impact fertility. In females, exposure to radiation near the ovaries can reduce the number of viable eggs, cause hormonal imbalances, or even trigger premature menopause. In males, radiation near the testes can affect sperm production and quality, potentially leading to reduced fertility or infertility. The degree of reproductive damage depends on factors such as radiation dose, the specific areas treated, and the individual’s overall health and age. It is crucial for those undergoing radiation therapy to discuss potential reproductive risks with their healthcare providers beforehand. Options like egg or sperm banking may be available to help preserve fertility. BRCA Gene Mutations and Prophylactic Surgery People with a BRCA 1 or BRCA 2 gene mutation face a high risk of ovarian and breast cancer. Many opt for prophylactic surgery to remove the ovaries and fallopian tubes (salpingo-oophorectomy) to significantly reduce this risk. This preventive measure is crucial in lowering the chances of developing ovarian cancer, which is often hard to detect early. Hormonal Therapy Treatments like tamoxifen, which are used to block estrogen receptors, can have significant effects on a woman’s reproductive system. These medications can disrupt menstrual cycles, causing irregular periods or even complete cessation of menstruation. This disruption can impact fertility, making it more difficult for women to conceive while undergoing treatment.  Additionally, the effects on the menstrual cycle can vary from person to person , and some women may experience other related side effects, such as hot flashes or changes in mood. It is important for women who are considering or undergoing such treatments to discuss the potential impact on their fertility and menstrual health with their healthcare provider. Fertility Preservation Options For women diagnosed with breast cancer who wish to preserve their fertility , there are several options available. It is important to discuss all available options as soon as possible with your oncology team before starting active cancer treatment. Egg and Embryo Freezing The most established methods for preserving fertility are embryo and egg freezing , also known as oocyte cryopreservation. These procedures involve stimulating the ovaries to produce multiple eggs, which are harvested and frozen for future use. Ovarian Tissue Freezing For women who need to start cancer treatment urgently, ovarian tissue freezing  may be an option. The procedure involves surgically removing and freezing ovarian tissue, which can later be re-implanted. Ovarian Suppression Some doctors may recommend medications to suppress ovarian function during chemotherapy, potentially protecting the ovaries from damage. In Vitro Maturation (IVM) Another option, IVM, involves retrieving immature eggs and maturing them in a lab setting before freezing. Making Decisions About Fertility Preservation Deciding whether to pursue fertility preservation is a personal choice that depends on various factors: Your age and current fertility status The   type and stage of breast cancer Your treatment plan Your desire for future biological children Financial considerations , including potential insurance coverage Discussing these options with your oncologist and a fertility specialist as soon as possible after diagnosis is crucial. The Emotional and Psychological Impact A breast cancer diagnosis is overwhelming, and the added stress of potential infertility can exacerbate the emotional and psychological challenges . Women may experience: Anxiety and Depression : Concerns about fertility and the future can lead to significant mental health issues. Relationship Strain : Fertility concerns can place additional stress on relationships . Decision-Making Stress : Choosing a fertility preservation method can be daunting, especially when facing a cancer diagnosis and needing to make decisions quickly. Seeking Support Counseling : Professional counseling can help address the emotional and psychological impacts of breast cancer and fertility concerns. Support Groups : Joining support groups for people with breast cancer can provide a sense of community and shared experiences. Check out one of the many Surviving Breast Cancer support groups . More Options Through Surrogacy or Adoption When faced with fertility challenges, both surrogacy and adoption offer hopeful pathways to building or growing a family . Surrogacy allows prospective parents to have a child genetically related to them through the assistance of a surrogate who carries the pregnancy.  On the other hand, adoption provides the opportunity to welcome a child into a loving home, offering them a stable and supportive environment. Both options come with emotional, legal, and logistical considerations, but they provide fulfilling routes to parenthood for individuals and couples who are unable to become pregnant. Count On Us for Information, Resources, and Support   A breast cancer diagnosis doesn’t necessarily mean the end of your dreams for a family. With early discussions and proper planning, many women can preserve their fertility and have biological children after cancer treatment. Always consult your healthcare team to understand the best options for your situation. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Breast Cancer in Young Women: Common Questions Answered Nurse Navigators: Your Guide Through Treatment Breast Cancer at 33: A Young Mom’s Story of Self-Advocacy Breast Cancer and Pregnancy: Managing Health for Mother and Baby On the Podcast: Breast Cancer Conversations Young and Diagnosed: A Journey to Motherhood & Parenting with Triple Positive Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Taylor McKnight Chemotherapy presents a variety of challenges for those going through cancer, including changes to diet and sleep. Some adjustments to your daily lifestyle during this time can help you get the nutrients and rest you need. Continue reading to learn some tips on lifestyle changes for better diet and sleep , and how medical cannabis and CBD may help with some specific challenges during cancer treatment. Food for Health Between chemotherapy infusions, aim to eat as well as you can . For many cancer patients, nausea caused by chemotherapy makes taking in healthy food quite difficult. You may consider medical cannabis  to both quell nausea and increase your hunger. For some, a single CBD gel capsule can make the difference between being nauseous and craving food . Chemotherapy-induced changes to your sense of smell or taste may impact your ability to eat . Foods that you once loved may smell horrible; foods that really didn’t appeal may now be the ones that you crave. There’s nothing wrong with enjoying sweet or salty treats because you need calories. However, if you can keep lean proteins and whole grain products on hand, it can help you eat a bit healthier. Some people receiving chemotherapy treatment develop mouth sores. Keep a bottle of plain water around so you can rinse and avoid inflammation. Try to avoid crunchy and spicy foods; cooked veggies may be better than fresh ones when mouth sores are at their worst. While you may be accustomed to a certain level of independence you had before starting cancer treatment, you will likely need some amount of help with groceries and meals. Asking for and/or accepting help is hard, but remember that it’s okay to accept support from others when offered .  This is especially true in the case of food, as you may not have energy to cook or grocery shop after long days at the cancer treatment center. Nausea and taste changes may impact your usual dietary preferences . Let your loved ones know what you are craving and what you would rather avoid.  Improving Sleep Habits Before you start your chemotherapy treatment, consider your current sleeping habits and environment and how they might be improved. You may want to buy blackout drapes (or request them from a friend offering help), and add a window air conditioner to your sleeping space if needed. Your core body temperature needs to drop for you to fall into the most healing stage of deep sleep. Do your best to sleep in a cool, dark, and quiet room. Many people undergoing chemotherapy also take steroids to help reduce inflammation, but these may come along with additional side effects that impact your sleep. Medical cannabis or CBD products before bed may be helpful in allowing you to drift off to sleep. Chemotherapy is a powerful tool to treat your cancer, but it’s anything but easy to go through. Take care to protect your body and spirit  during this challenging time. Note: Speak to your medical team before starting any new supplements or medications. This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Packing a Care Bag for Cancer Treatment Tips for Pain Management with Cancer Understanding and Managing GI Issues Caused by Breast Cancer Treatment Making Food Choices During Breast Cancer Treatment Navigating Cancer Treatment: Top Tips from an Oncology Pharmacist On the Podcast: Breast Cancer Conversations Integrating Naturopathic Medicine with Conventional Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Breast cancer touches the lives of countless individuals, bringing with it fear, uncertainty, and an overwhelming emotional toll. Fortunately, there’s new hope on the horizon thanks to advances in immunotherapy. These developments offer a fresh and deeply personal approach to treatment, transforming how we confront this devastating disease.  Immunotherapy is more than just a medical breakthrough — it’s a chance for people living with breast cancer to regain strength, hope, and a future. Read on to discover how immunotherapy is rewriting the story for those facing breast cancer. What Is Immunotherapy? Immunotherapy  is a cancer treatment that activates the body’s immune system to target and destroy cancer cells. While traditional treatments like chemotherapy and radiation attack cancer directly, immunotherapy helps the immune system recognize and eliminate malignant cells. It offers a more personalized approach and can often be less harsh on the body than conventional therapies. Types of Immunotherapies Used in Breast Cancer Researchers are currently studying and using several types of immunotherapies  to treat breast cancer, including: Checkpoint Inhibitors : These drugs block proteins that stop the immune system from attacking cancer cells. Checkpoint inhibitors, like pembrolizumab and atezolizumab, are showing promising results in certain types of breast cancer, particularly triple-negative breast cancer  (TNBC). Cancer Vaccines : Researchers are developing vaccines that train the immune system to attack specific breast cancer cells . While still in the early stages, these vaccines may help prevent recurrence in patients who have already undergone treatment. Adoptive Cell Therapy (ACT) : This approach involves removing immune cells from the patient, enhancing them in a lab, and reintroducing them to target cancer more effectively. ACT is beneficial for patients with advanced breast cancer. Cytokine Therapy :   This therapy harnesses the power of cytokines, natural substances the body produces. When injected, these cytokines can boost the immune system’s response to breast cancer cells, helping to shrink tumors. Why Is Immunotherapy a Game Changer? Traditional breast cancer treatments such as surgery, chemotherapy, and radiation often come with severe side effects, such as nausea, fatigue, hair loss, and a weakened immune system. Immunotherapy offers a more targeted approach, usually sparing patients from the debilitating side effects of conventional treatments. Immunotherapy is also highly adaptable. Doctors can often tailor treatments to a patient’s cancer profile because it works with the immune system. In addition, immunotherapy may offer more durable responses, as it trains the immune system to remember cancer cells, which could reduce the risk of recurrence. Benefits of Immunotherapy in Breast Cancer Precision Targeting : Immunotherapy targets cancer cells precisely without damaging surrounding healthy cells, minimizing side effects. Long-term Protection : The immune system can learn to recognize and attack cancer cells if they return, potentially offering long-term protection. Treatment for Aggressive Cancers : Immunotherapy has shown potential for treating aggressive forms of breast cancer, like TNBC, which may not respond to traditional therapies. How to Access Immunotherapy for Breast Cancer If you or a loved one is interested in immunotherapy, it’s essential to consult with an oncologist. They can help determine if you’re a good candidate based on the specific characteristics of your breast cancer and available treatments. Clinical trials  are another avenue to explore if you’re looking for cutting-edge options. Count On Us for Information, Resources, and Support   Immunotherapy represents a groundbreaking approach to treating breast cancer, offering new hope for patients with aggressive and resistant forms of the disease. As research progresses, more people diagnosed with breast cancer could benefit from this personalized, less invasive treatment. While challenges remain, the future of breast cancer treatment looks brighter than ever. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, and more. We also offer podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: Immunotherapy Response Monitoring in Patients with Breast Cancer Passing Through The Promise of the Triple Negative Breast Cancer Vaccine Clinical Trials On the Podcast: Breast Cancer Conversations Antibody Drug Conjugates (ADCs) Dato Potato Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Understanding how deeply a breast cancer diagnosis can affect both your body and spirit is key to helping you on your path to healing. Dr. Heather Richardson , a dedicated breast cancer surgeon, has spent her career supporting women through this challenging experience. Here, she offers insights to help you confidently navigate your treatment options and the reassurance that you’re not alone on this journey. Receiving a Breast Cancer Diagnosis: Understanding Your Emotions The moment you hear the words “breast cancer,” your world may feel as though it’s been turned upside down. It’s natural to experience a whirlwind of emotions—shock, fear, anger, confusion. These feelings are entirely normal, and giving yourself the space and time to process them is important. During this initial stage ,  leaning on your support system  can be helpful. Whether it’s a close friend, family member, or therapist, talking about your emotions can provide some relief. It’s okay not to have all the answers right away. Educating Yourself: Understanding Your Diagnosis Knowledge is power. Understanding your specific diagnosis can help you feel more in control and better prepared to make informed decisions about your treatment. Your healthcare team will provide you with information about your type of breast cancer , including its stage, grade, hormone receptor status, and HER2 status. These terms can be confusing at first, but they are crucial for determining the most effective treatment plan. Don’t hesitate to ask your doctors to explain anything you don’t understand. It’s essential to get the clarity you need to make informed decisions.  Preparing for Your Oncology Appointment: Questions to Ask Your first oncology appointment is an important step in your treatment journey. Being prepared with questions  can help you make the most of this time with your doctor. Here are some questions to consider: What type and stage of breast cancer do I have?  Understanding your specific diagnosis is the foundation of your treatment plan. What are my treatment options?  Each case is unique, and your doctor will outline the best treatment paths available to you. What are the potential side effects of each treatment?  Being aware of side effects can help you prepare for and manage them effectively. Are there any clinical trials available to me?   Clinical trials  can provide access to cutting-edge treatments that might not be widely available. Taking notes during your appointment or bringing someone with you to help absorb the information can be very helpful. This way, you can review everything discussed later when you’re in a calmer state of mind. Taking the Next Steps: Developing a Treatment Plan Once you understand your diagnosis, the next step is developing a treatment plan in consultation with your healthcare team. This plan will be personalized to your specific type of cancer and your overall health. Treatment options may include surgery, chemotherapy, radiation therapy, hormone therapy, or a combination of these. It’s perfectly okay to seek a second opinion . Sometimes, hearing another perspective can give you the confidence to move forward. It’s also important to consider how treatment will fit into your life—balancing your care with your personal responsibilities is an important part of the decision-making process. Understanding Surgical and Reconstruction Options Surgery is typically part of breast cancer treatment, with the approach tailored to your specific needs and preferences. The main surgical options include: Lumpectomy:  This breast-conserving surgery removes the tumor and a small margin of surrounding tissue, typically followed by radiation therapy . Mastectomy:  Involves removing one or both breasts, with variations such as total, skin-sparing, or nipple-sparing mastectomies aimed at preserving the breast’s appearance. In the past, breast reconstruction  was often a multi-stage process performed after mastectomy. However, advanced techniques make immediate reconstruction  viable for many patients, offering significant physical and emotional benefits. Options include implant-based reconstruction and autologous reconstruction, which uses the body’s own tissues. Work with your healthcare team to make decisions about surgery and reconstruction based on what best suits your recovery and lifestyle. Managing Your Emotions Throughout the Journey Treatment isn’t just about addressing the physical aspects of the disease—your emotional well-being   is also a crucial part of the process. It’s normal to experience a range of emotions, and there are effective ways to manage the stress and anxiety that can arise. Talk openly with your healthcare team about how you feel emotionally. They can connect you with resources and support to help you navigate the emotional ups and downs of your diagnosis and treatment.   Activities such as meditation , gentle movement , and spending time outdoors can help you manage anxiety and stress. You might also enjoy connecting with others in a peer-to-peer support group, such as SurvivingBreastCancer.org ’s Thursday Night Thrivers  meetups. Looking Forward: Life After Breast Cancer While the focus is naturally on treatment and recovery, remember to also look toward the future. Your journey doesn’t end when treatment does, and focusing on your overall well-being and ongoing monitoring will continue to be necessary. Many patients find that life after breast cancer brings new opportunities for growth, self-discovery, and a renewed appreciation for the simple joys of life. Focusing on recovery and embracing what comes next can help you find strength and hope. Embracing Life While Living With Metastatic Breast Cancer For individuals with metastatic breast cancer  (MBC), the path forward looks different. Unlike early-stage breast cancer, MBC requires ongoing treatment and management, as it is not considered curable. This reality means there isn’t a definitive “after cancer” chapter. Living with MBC can bring unique emotional, physical, and practical challenges. Many patients with MBC find strength in connecting with others facing similar circumstances and working closely with their healthcare teams to tailor treatment to their needs and goals. Be sure to check out SurvivingBreastCancer.org ’s Thursday Night Thrivers   meetups, which include a specific group for those with MBC. Focusing on quality of life, maintaining hope, and finding moments of joy amid the challenges can help create meaning for those living with MBC. Note: This article is designed to provide general information and is not meant to replace professional medical advice. Always discuss your options with your healthcare provider. Read More: SurvivingBreastCancer.org free programs and events Newly Diagnosed. Now What? Why a Second Opinion Matters for Breast Cancer Nurse Navigators: Your Guide Through Treatment Treatment Tips & Questions to Ask Your Medical Oncology Team Packing a Care Bag for Cancer Treatment Exploring Breast Reconstruction Surgery: Pros and Cons On the Podcast: Breast Cancer Conversations Enhancing Patient-Provider Communication in Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Cindy Fortuna, Registered Holistic Nutritionist If you’re reading this, you recognize the importance of diet and nutrition after a cancer diagnosis .  As a Registered Holistic Nutritionist and someone who was treated for primary central nervous system lymphoma (PCNSL), an uncommon, aggressive and deadly type of non-Hodgkin lymphoma, I understand the critical role nutrition plays  in managing health during and after cancer treatments. My cancer treatment involved five rounds of chemotherapy, another high-dose chemotherapy protocol prior to a full stem cell transplant, and radiation to my eyes five times per week for four weeks.  I lived for a period of time believing that I had no control over my illness. Now I know that I can have a positive impact through nutrition and lifestyle choices, as well as mindset.  My suggestions below aim to improve gut health, the immune system, energy levels, and rate of recovery. Nutrition can play a role in helping you recover from treatments, continue to thrive, and ultimately take control of your health. Managing symptoms during treatment   is a challenge. Here are some suggestions to help you get through this: For nausea, opt for bland, easy-to-digest foods such as bananas, apple sauce, crackers, and rice. For loss of appetite, focus on small, frequent meals that are nutrient dense such as smoothies, nut butters, and protein shakes. For mouth sores, choose soft, cool foods such as yogurt, smoothies, and mashed potatoes. Prioritize nutrient-dense foods. Choose whole grains for sustained energy and fiber. Lean proteins can support muscle and tissue repair. Healthy fats provide anti-inflammatory benefits. Drink plenty of water, herbal teas, and clear broths to avoid dehydration, which can worsen fatigue and other symptoms. Limit processed foods, refined carbohydrates, sugar, and alcohol. While it’s best to get nutrients from whole foods, some may benefit from supplements due to dietary restrictions or increased nutritional needs. Always consult with a healthcare provider before starting any supplements to avoid interactions with treatments and medications. In addition to these suggestions, a chart is included below to summarize the nutritional categories of food that are the most beneficial during and particularly ongoing after treatments. I encourage you to use this to implement impactful changes in what you put into your body. Nutritional Categories and Their Benefits Cruciferous Vegetables contain indoles, which increase production of antioxidant enzymes increase liver’s ability to produce enzymes that neutralize toxins support liver’s detoxification processes Antioxidants support and rebalance the immune system counteract free radicals, stress, and inflammation Essential Fatty Acids ensure normal biochemical functioning of cells increase the removal of toxins diminish inflammation Probiotics restore balance of intestinal flora, and maintain integrity of intestinal lining reduce harmful bacteria and pathogens in the GI tract stimulate the immune system, reducing infection, allergies, and inflammation enhance mineral absorption reduce anxiety and stress response and improve mood Lentils & Legumes contain protease inhibitors, which inhibit enzymes that promote cancer growth contain saponins, which prevent cancer cells from multiplying Raw Foods include whole foods that are high in nutrients rich sources of digestive enzymes High Fiber Foods support immune system help maintain healthy weight, which is vital to reducing cancer risk protect intestinal lining and make bowel movements more frequent Alkalized Foods if body fluids become acidic due to mineral deficiencies, this may lead to disease a healthy alkaline level is pH 7.35-7.45 Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Cindy Fortuna Registered Holistic Nutritionist CFor Wellness Read More: Treatment Tips & Questions to Ask Your Medical Oncology Team Understanding and Managing GI Issues Caused by Breast Cancer Treatment The Impact of Diet and Nutrition on Breast Cancer Prevention and Recovery Packing a Care Bag for Cancer Treatment After Your Breast Cancer Diagnosis: Planning Your Next Steps On the Podcast: Breast Cancer Conversations Understanding Nurse Navigation: Support and Resources for Cancer Patients Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Statistics show that breast cancer is most common in women over 50, but that doesn’t mean it can’t affect individuals outside that age range. Individuals under 40 can also receive this life-changing diagnosis. According to the Centers for Disease Control and Prevention (CDC), approximately 10% of new breast cancer cases in the US occur in women under 45 . Read on to learn about the specific hurdles younger women face and how to navigate these obstacles with confidence and support. The Unique Challenges Breast Cancer Patients Under 40 Face While breast cancer in younger people is less common, it is not rare. Breast cancer in individuals under 40 presents unique challenges  due to the distinct biological, social, and psychological factors involved. Some of the key challenges include: Delayed Diagnosis : Younger women tend to undergo regular mammograms less frequently, which often results in breast cancer being diagnosed at a later stage. Dense breast tissue also makes detection more complicated with standard imaging techniques. Aggressive Tumor Types : Breast cancers in younger individuals tend to be more aggressive, like triple-negative or HER2-positive types , which are more challenging to treat and more likely to recur. Fertility Concerns : Treatment for breast cancer, especially chemotherapy, can affect fertility.  Many young women face the emotional and practical challenges of fertility preservation options like egg freezing before treatment. Pregnancy-Associated Breast Cancer : For some women, breast cancer is diagnosed during pregnancy   or shortly after. A breast cancer diagnosis creates complex treatment decisions to balance the health of both mother and baby. Genetic Risk Factors : Younger people diagnosed with breast cancer are more likely to have inherited genetic mutations, such as BRCA1 and BRCA2 , which can increase the likelihood of other cancers and require preventive measures for their families. Impact on Career and Finances : Younger people are often in the early stages of their careers and may face financial stress from medical bills , loss of income, and long-term treatment needs, including reconstruction or follow-up care. Psychosocial Stress : The emotional and psychological impact of breast cancer  is profound for younger individuals who may be raising children, managing long-term relationships , and/or building their future. Concerns about body image, dating, and family planning can add to the stress. Survivorship and Long-Term Health Issues : Long-term survivors of breast cancer face unique health challenges, such as the risk of premature menopause, heart problems from treatment, and secondary cancers, which can impact quality of life for decades. These challenges make early detection, specialized support, and individualized treatment critical for younger people diagnosed with breast cancer. Symptoms to Watch For Younger individuals should be vigilant about breast self-exams and aware of the potential symptoms of breast cancer, such as: A lump in the breast or chest area Changes in breast shape or size Unexplained pain in the breast or armpit Nipple discharge or changes in the skin texture Treatment Options for Younger Individuals Breast cancer treatments for people diagnosed under 40 are essentially the same as for older patients. Still, younger individuals are more likely to be diagnosed with aggressive forms of the disease, such as triple-negative breast cancer . Treatment plans often include a combination of: Mastectomy or lumpectomy : Surgical options depend on the type and stage of the cancer. Chemotherapy : Used to target and destroy cancer cells throughout the body. Radiation therapy : Used after surgery to target any remaining cancer cells. Hormonal therapy : For cancers that are hormone receptor-positive, this treatment helps prevent recurrence. The Importance of Support Systems Facing breast cancer at a young age can feel isolating, but building a robust support network, including friends, family, and support groups, can provide a buffer against social isolation. Support groups offer a safe space to share your experiences and gain insights from others who have faced similar challenges. SurvivingBreastCancer.org has online support groups   to ensure you’re never alone. Instead, you find yourself surrounded by others who share similar experiences with all stages and types of breast cancer, including metastatic breast cancer (MBC), inflammatory breast cancer (IBC), and a Spanish-language meetup. Count On Us for Information, Resources, and Support   Breast cancer under 40 presents unique challenges, from diagnosis to emotional well-being and fertility concerns. Early detection, specialized treatment, and strong support networks are vital to improving outcomes for younger women facing this diagnosis. By staying informed and seeking out appropriate resources, individuals under 40 can better navigate the complexities of breast cancer and focus on their health and future. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: SurvivingBreastCancer.org Support Groups Breast Cancer in Young Women: Common Questions Answered Understanding Genetic Testing for BRCA1 and BRCA2 Mutations Newly Diagnosed Breast Cancer and Fertility The Psychological Impact of Breast Cancer The Cost of Breast Cancer Navigating Relationships After a Breast Cancer Diagnosis Breast Cancer and Pregnancy: Managing Health for Mother and Baby From Diagnosis to Determination: My Triple-Negative Breast Cancer Journey On the Podcast: Breast Cancer Conversations Young and Diagnosed: Motherhood & Parenting with Triple Positive Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Laura Carfang Breast cancer surgery is a deeply personal and often challenging experience for many women. As people navigate the complexities of a breast cancer diagnosis, a patient-centered approach to reconstruction and plastic surgery becomes critical. This approach prioritizes the individual needs, preferences, and values of the person, ensuring that they are active participants in the decision-making process. Dr. Thomas Francel In a recent podcast that we recorded at SurvivingBreastCancer.org , Dr. Thomas Francel, a seasoned plastic surgeon, shared insights into his patient-centered philosophy regarding breast reconstruction . His commitment to seeing patients within 24 hours of diagnosis exemplifies the importance of timely communication in healthcare. By providing patients with immediate access to information and support, Dr. Francel alleviates some of the anxiety and uncertainty that often accompany a cancer diagnosis. He emphasizes the significance of being well-informed, stating, “I give them a lot of information... we have the diagnosis, we have the cell type, we have a lot of the stuff that I can sit and talk to them about.” This proactive approach allows patients to better understand their options and make informed decisions regarding their plastic surgery reconstruction. Dr. Francel’s dedication to personalized care extends beyond these initial consultations. He recognizes that each patient’s journey is unique and that reconstruction should be tailored to individual circumstances. He notes the evolution of reconstruction techniques, explaining how he has settled on a method that he believes is best for the patient, considering both oncological and recovery aspects. This adaptability is crucial in a field where advancements in surgical techniques continuously reshape best practices. A key component of Dr. Francel’s approach is his acknowledgment of the emotional and psychological impact of breast cancer. Many women face the difficult decision of whether to undergo a unilateral or bilateral mastectomy. Dr. Francel highlights that some patients opt for bilateral mastectomies as a way to alleviate the mental burden of regular mammograms and the anxiety associated with potential recurrence. His understanding of the mental health aspects of treatment underscores the importance of addressing not only patients’ physical needs, but also their emotional needs. Discussing the aesthetic outcomes of plastic surgery reconstruction, Dr. Francel emphasizes the importance of symmetry and natural appearance. He acknowledges the inherent asymmetry in women’s bodies and strives to achieve the best possible results, often requiring additional procedures on the opposite breast to ensure balance. This attention to detail reflects his commitment to enhancing the quality of life for his patients, as aesthetic outcomes can significantly influence self-esteem and body image post-treatment. By prioritizing personalized care, timely communication, and a multidisciplinary approach, healthcare teams can ensure that patients feel supported, informed, and empowered throughout their surgery. Listen Now:   Breast Reconstruction and Plastic Surgery Explained: Expert Insights from Dr. Thomas Francel Because this podcast episode focuses specifically on plastic surgery options, we do not talk about aesthetic flat closure , which is an option for those who do not want or who are not candidates for reconstruction. More information on aesthetic flat closure can be found on our blog   and in our podcast episode #48: Radical Mastectomy & Going Flat | Interview with Alicia Duncan (Part II)   Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Dr. Courtney Sproat, PT, DPT, CLT Physical therapist Dr. Courtney Sproat shares information on cancer rehab and how it can help you before, during, and after your breast cancer treatment. Cancer rehab is a fairly new and growing specialty in the therapy world. It is not widely known about, nor is it utilized enough. One of the first statements I often receive from patients on their first visit is, “I’m not sure why I am here, but my surgeon recommended it so I came.” A popular question from other healthcare providers is, “This may seem like a silly question, but what exactly do you do?” Even during my two years of working in a well-known healthcare system in a big city, coworkers within our own building did not know about cancer rehab or where we were located. It was quite frustrating, especially when it is a much-needed service . Individuals recently diagnosed with cancer, going through cancer treatment, or navigating survivorship can all benefit from cancer rehabilitation . Studies have shown that rehabilitation has a positive impact on these patients and it should be implemented from the point of diagnosis . Even if your physician or oncologist does not recommend physical therapy, do yourself a favor and ask for it! Be an advocate for yourself. Being educated from the beginning of treatment can improve the effectiveness of your treatment, make you feel better during and after your treatment, and decrease your chance of recurrence. Cancer treatment takes a major toll on your body—physically, mentally, and emotionally. Some potential physical side effects from cancer treatment may include: decreased movement decreased strength pain chemotherapy-induced peripheral neuropathy fatigue decreased balance scar tissue axillary web syndrome muscle tightness  lymphedema A physical therapist specialized in cancer rehabilitation can help guide you in safe exercises throughout your entire cancer experience and can provide hands-on techniques to reduce or treat these potential symptoms and side effects.  Physical therapy is not just about exercise , but research has shown that exercise has many positive impacts for those diagnosed with cancer, including: improving your physical function improving your quality of life providing you with a sense of control decreasing anxiety decreasing depression reducing cancer-related fatigue reducing your risk of developing lymphedema These benefits are great, but some patients feel lost on where to begin or what is considered safe. A specialized cancer rehab therapist—whether it be a physical therapist , occupational therapist, speech therapist, or massage therapist—can help educate and empower you. A therapist can help prevent or lessen some side effects and maintain your strength and motion for work or everyday tasks. For those in survivorship, working with a therapist can help you regain strength and mobility after completing treatment. I could go on about cancer rehab and its benefits, but simply put, this therapy can be used before, during, and after cancer treatment . Physical therapy looks different for every individual, but having someone specialized in your cancer on your team is a big benefit to you. If you have been diagnosed with cancer, ask about physical or occupational therapy. If you know someone recently diagnosed with cancer, share this blog with them and encourage them to reach out to a physical therapist or occupational therapist, even if they just have questions. I recommend seeking help from a therapist who has experience working with the cancer population or one who has received additional education in cancer rehab. You never know how your treatment may affect you or when it will have an impact on your life. I encourage taking action before treatment and learning as much as you can. Having a specialized physical therapist on your cancer team can make a world of a difference. Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Join us for yoga, Pilates, and other mindfulness and movement programs! Watch on-demand movement classes About the Author: Dr. Courtney Sproat I am a physical therapist in cancer rehabilitation currently specializing in breast cancer rehab. I jumped into this specialty right after graduation and have been working in cancer rehab for over 2 years now. After one day of shadowing during my clinical rotation, I realized my passion and calling was in cancer rehab. After starting my career, I received additional education to become a certified lymphedema therapist and a certified breast cancer rehabilitation therapist. I recently joined Auburn Massage & Wellness Centre in Auburn, Indiana, to offer my services as an out-of-network provider. Read More: The Importance of Physical Therapy During and After Cancer Treatment Lymphedema is a Chronic Condition & Why I Love Swimming The Link Between Breast Cancer and Back Pain Exercise and Breast Cancer The Healing Power of Pilates: Benefits for Breast Cancer Patients On the Podcast: Breast Cancer Conversations The Importance of Physical Therapy in Breast Cancer Recovery Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Holly My breast cancer journey started long before my diagnosis at age 45. During my thirties, my friend Amy was diagnosed with breast cancer in her left breast. Amy and I became friends through our kids when they were in preschool. She was a kickass woman from Texas who ferociously loved her boys, family and friends. She was never afraid to speak her mind and was always helping other people. When she was diagnosed, she insisted I feel her tumor, so I’d know what it felt like. She endured a lot during her journey, but I remember her distinctly telling me she should have had a double mastectomy instead of a single one because her cancer showed up in the remaining “good” breast forcing her to have another major surgery. Sadly, Amy passed away in October of 2005, but little did she know that her words and actions would later save my life . In September of 2015 while on a trip to Vegas to the “Life is Beautiful” music festival, I decided to do a self-exam. You know the kind where you’re lying in bed and you think “Oh, I’ll just do a quick boobie check.” I’d been doing self-exams for years but this time I felt something, and I froze in fear. I kept touching and feeling the spot while my husband, Scott, looked on with concern. I told him immediately that something wasn’t right and made him feel the spot. We both knew that in that instant our lives were changing. Knowing how your breasts feel is so important. Mine were always dense and lumpy. What I felt didn’t feel like a tumor. It was a hardness with no defined outer edges. I knew it was off because I had never felt that before. And, I knew it was something wrong because I had felt Amy’s. Amy’s tumor was in the 12 o’clock position in her left breast….and so was mine. Getting my diagnosis confirmed was incredibly stressful because I had to strongly advocate for myself and ask for second opinions. The first radiologist and my gynecologist’s PA both told me it was a fibroid cyst. Had I listened to them the cancer would have gone unchecked. Thankfully, I insisted on an appointment with my gynecologist who ordered further scans. I went to the same center and had an on-call radiologist who didn’t dismiss me. He confirmed what I felt with an ultrasound said I needed a biopsy. I told him I wanted him to do it, not the other guy. He made room for me in his schedule for an ultrasound guided biopsy. Sure enough, it was breast cancer. By now, it was almost ten years to the date of Amy’s death. I could hear her voice telling me to fight and keep advocating for myself. One of the best things I can recommend is building a group of people to help you through this. These people be it friends, family, and medical professionals help ease the burden on your main caregivers, mine being my husband followed by my daughter, Mackenzie. My friend, Sharon, was the first medical person to join my team. As the search for doctors started, she called me and said “You need to see Dr. Blumencranz. He’s the best.” She would know as she had been his nurse anesthetist for years. When I heard his name was Peter William (my dad’s name) and met him, I was sold. Sharon helped me navigate the surgeries and was always on hand with good drugs to put me out! She brought a sense of humor and lightness to each surgery, and I couldn’t have done this without her. Throughout all of this, I continued to teach middle school and only my principal knew what was happening. One day my fellow homeroom teacher, Liz, asked me if I was ok and wondered what was going on. She was new to the school, and I was hesitant to share my diagnosis with an acquaintance. I got over myself and told her my story. Thank goodness I did because she had just finished treatment 6 months before using the same surgeon and oncologist that I had been sent to! She became a vital part of my team as my medical journey ramped up. The week of Thanksgiving, I had a lumpectomy and 3 sentinel nodes removed. My doctor ordered a Mammaprint test on the tumor to see what the rate of recurrence would be. I was told I was Stage IIA, Hormone Positive with IDC and DCIS . All nodes and margins were clear, but the Mammaprint came back with a high chance of recurrence. My oncologist said I would need four rounds of T/C (Taxotere/Cytoxan) and then radiation. Liz told me that she saved her hair during chemo by cold capping. So, Scott ordered the cold caps and took charge of managing them because my chemo center did not have the Dignicap system. It was quite an ordeal to cold cap on my own. Scott was in charge of putting caps in a cooler of dry ice the morning of chemo. We had to arrive at the center at least 2 hours before my infusion to set up. The caps had to be kept at -32 degrees. I had to start wearing the cap 1 hour before the infusion started and at least 2 hours afterwards. He had to put a new cap on me every 30 minutes. By the end of the day, I was exhausted, frozen, nauseated and had ice in my hair. I did, in fact, save my hair which really helped me emotionally to see “me” in the mirror. To be able to navigate treatments while working, I started chemo on December 31st. This way I wouldn’t have to take much time off due to the holiday break. The cold capping combined with the timing of chemo on a holiday meant we had to leave the cancer center when it closed at noon instead of staying there until the end of cold capping. I was just plain miserable from it all. Mackenzie and Scott had to support me through intense nausea and a breakdown upon my return from the cancer center. I also thought I could do chemo in my veins and not get a port, which was a poor decision on my part. My arm bruised and my good vein blew out. I did ok with the Neulasta on-body injector, but I did have bone pain afterwards. Claritin helped with this. As for neuropathy, my onco told me to take Alpha Lipoic Acid and ice my fingers. It worked and any mild neuropathy that I did have went away. I had a port inserted before my second chemo session and came armed with a heating blanket and peppermint oil. It all went ok, but I was still ready to quit. I went to my oncologist for my check up to tell him I was out. I’m done. Not doing this anymore. He calmly redirected me and said that everything would look better a year from now and then made the appointment for the third session (jerk :). At the third session, he gave me an infusion of iron to boost my red blood cell count. This went well because of the steroids given with chemo, but I needed a second infusion a week later. This resulted in an allergic reaction with hives and my throat swelling. I had to go back for another infusion of different meds to settle things down. At the end, I was still having some symptoms and my onco sent me for a CT scan to make sure I didn’t have a pulmonary embolism. It was a long two days and my tummy was a wreck from then on. After the fourth and final chemo session , I could barely keep anything down. I vacillated between constipation and diarrhea. After a few weeks of this, my onco had me get a colonoscopy and endoscopy. Mainly because my dad had just passed away of colon cancer, and he wanted to make sure that nothing else was going on. Thankfully everything was fine. Throughout all of these treatments, I continued to teach. My school was incredibly supportive. I would take the week of chemo off and return to work for the two weeks before the next infusion. The students, teachers, and parents all rallied behind me. I’m not sure they learned much world history, but they did learn from me how to be resilient when facing a difficult time. My chemo symptoms finally started to abate by the beginning of April and now it was time to start radiation. I qualified for a shortened but more intense round of radiation. 4 ½ weeks versus 6 weeks. Radiation for me was a breeze compared to chemo. I did get a bad burn on my left breast and had some fatigue, but nothing that kept me from working. The next step was to determine which long-term cancer medication I should take. My onco initially put me on Arimidex with a monthly shot of Zoladex to suppress my ovaries. Chemo had put me into menopause, but in order to be on Arimidex I had to be kept in a menopausal state. I was not told that the monthly Zoladex shot was to go in my belly. Imagine my surprise when the nurse led me into a room and told me to lie down and pull up my shirt. This was not something I wanted to do on a monthly basis! I was now on summer break and had some time to catch my breath and think about all of this long term. I realized that going to the cancer center every month was stressful for me, and I didn’t want to be beholden to getting medication every month. I had had issues with my periods prior to chemo, so I met with a new gynecologist to discuss having a full hysterectomy. There’s a lot of cancer in my family, and I knew there was a connection between breast, colon and ovarian cancers. I opted for a hysterectomy in July of 2016. As I was in preop waiting for surgery with no hearing aids or glasses, I was surprised by a voice I knew. It was the father of 2 active kids that I had taught and also the head of anesthesiology! He offered to recuse himself, to which I replied “No way! You owe me.” He took such good care of me, made sure to check on me in recovery, and gave me his cell number in case I had questions once I went home. I was so happy when I was finally healed from this because it meant my journey was done!! Woo Hoo! But my body had other plans for me. I was due for my 6 month, post chemo mammogram in September. So, like a good girl I did my self-exam prior to my mammogram appointment. Wouldn’t you know it, I felt the same damn hardness but now it was in the right breast. I said a lot of expletives after that and then I heard Amy’s voice, “I wish I had done a double mastectomy.” I had a surgical biopsy and thankfully it was “only” LCIS. It was removed and my surgeon said I was fine. He and my onco would follow me closely from here on out which means more scans, more doctor visits, more biopsies and on and on and on. I told Scott that I felt like my breasts were ticking time bombs. (He didn’t really care for the visual of boobies blowing up.) My oncologist switched me from Arimidex to Aromasin and increased it from 5 years to 10. He also advocated the watch and wait approach. I took the time to get second opinions from MD Anderson and plastic surgeons. Most plastic surgeons were not too keen on doing recon because I had had radiation. All conferred that I most definitely needed at least a year between my last radiation and any surgery. Radiation affects all of the tissues in the breast and can inhibit healing and cause capsular contracture with implants. Another complicating factor was a genetic blood clotting disorder that I have which kept me from going on Tamoxifen. The doctors didn’t care to embark on a surgery with that hanging over their heads. None of the doctors would recommend a double mastectomy. They all said I could “watch and wait.” Still Amy kept whispering, “I wish I had gotten a double mastectomy.” I continued to research using breastcancer.org for much of my information. It was there I learned about the Center for Restorative Breast Surgery in New Orleans. I initiated a conversation with them, joined a private Facebook group, and continued to research their approaches. If you had told me a year prior that I would be considering an 8 hour surgery, out of state, and with a surgeon I had only talked to on the phone, I would have said you were crazy, but here I was going down that road. And boy was it a fantastic road to travel. This group of doctors are specialists in micro-surgeries using flaps for recon. They only work with breast cancer patients and their hospital is attached to their offices. I scheduled my surgery for June of 2017. I was to have a bilateral mastectomy with SGAP reconstruction. SGAP uses the fat flaps from the top of the buttocks/hip region. Many people think reconstruction is like getting a boob job, but it is far from it. They don’t realize that a vital part of your body is in effect, being amputated. Each woman goes through a wide range of emotional processing to make the decision to have recon or remain flat. My surgery was 8-9 hours long. I had four drains, compression garments, leg pumping thingies to ward off blood clots, and who knows what else coming out of me. It was insane. The hospital nurses, Stacey and Brittany, became my go to women. I cannot say enough about this hospital. I felt like I was loved and taken care of like my mom would do it. They even had a chef on staff who would make me something that wasn’t on the menu! The recovery time was long and arduous, and still Mackenzie, Scott, and my friends and family remained by my side. My insurance covered a lot of the surgery and the Center worked with me every step of the way so I understood what my financial output would be. It also helped that I had bought a cancer policy with AFLAC when I was 28. This turned out to be a Godsend during the entire process. I knew a second revision surgery was in my future, but the end was finally near. Not a year later like my onco had said, but still. There was a light at the end of the tunnel. During this entire time, my mom was slowly deteriorating from her own lung cancer diagnosis. We bonded and took care of each other as best as we could as cancer patients do. I’d take time off work to fly to Minnesota to see her, and would talk with her daily about her needs and desires for her funeral. She passed away in October of 2017 with me by her side. I now had to continue on alone to my last surgery after having lost my parents, my A team, both to cancer in 2 years. My final revision surgery took place just before Christmas in 2017. This entailed a butt lift to correct the indents from the flap removal, a boob lift, port/hysterectomy scar revisions, and lipo to smooth everything out. It was “only” four hours long, and I still had four drains and compression garments afterwards. I now had a fabulous perky butt and “butt boobs.” New Year, New Me! Amy would be proud! One thing no one tells you about chemo is the effect it has on your vagina. Dries it right up like an old lady. “Sorry folks! Park’s closed!” It was very uncomfortable. I jokingly told my gynecologist (my third in 3 years) that I now had 20 year old boobs and a 70 year old’s vagina. She recommended laser treatment called Mona Lisa Touch since I couldn’t use any hormones. I did four sessions of this over the course of 6 months, and I was returned to almost normal. I was now tasked with closing out my mom’s estate while nearing the end of the school year, I realized that I was physically and mentally done. I had nothing left to give and needed to recover and breathe. I quit my job, began physical therapy, grief counseling, and brain training for chemo brain. I started to work on putting Humpty Dumpty back together again. I am still doing this as we speak since there is no time limit for “getting over” any of this. The post cancer phase has been harder because I look “fine.” I am in remission, so I should be “fine.” I am told I am strong and brave, but no one sees the fatigue and emotional PTSD that trails along with me like a child’s droopy blankie. I hold back with my story because it is “too much” for many. Mortality is a scary thing, and once you’ve been through personal hell of cancer and sat with someone as they take their last breath, you realize that you’ve now moved into a new stage in life. People will either move forward with you or they won’t...and that’s ok. After all my treatments, I made sure to contact Amy’s sons to share my story and remind them of how she is living on in all of us. Cancer forces you to reevaluate everything. My husband and I sold most of our belongings a year ago to live as nomads. I’ve met other breast cancer warriors who travel as a way of life. We’ve shared stories and tips for navigating living abroad. Joining expat groups to get medical facility recommendations. I’ve learned is that medical care is usually just as good outside of the States, and it’s often cheaper with faster results. Surviving is hard and takes a lot of time and patience. It can be exhausting and exhilarating at the same time because you can push forward into a new way of living. It can be a challenge so go easy on yourself when you think you should be doing something different be it a different way of eating, exercising, looking or feeling. It can feel defeating when we see others pass away from cancer. We often wonder, “Why them and not me?” Know that your journey is unique, and your way is ok. You are not alone. And just like Amy, I made sure all of my friends felt my tumor before it was removed. It is in reaching out that we save each other Recommendations for navigating the minefield of cancer: 1. Second opinion and third opinions. You are hiring your doctors. 2. Research... Knowledge really is power 3. Grieve 4. Find your tribe and forgive those who fall away 5. Get someone to fight for you when you can’t 6. Take someone to all appointments for another set of ears. Info is overwhelming. 7. Write down your questions and concerns. There are no stupid questions. 8. Schedule surgeries and treatments in the same calendar year to max out your deductible 9. Watch out for your bone, dental, vaginal, and thyroid health. Chemo and meds take a toll on these areas. 10. AFLAC was a Godsend for me financially. 11. Breastcancer.org and their discussion groups were helpful to me. 12. Dr. Google and communities on Instagram and Facebook can be both helpful and cause anxiety. Tread carefully. 13. Drink LOTS of water before and after chemo. Ask if you can get an IV infusion of fluids a few days after chemo. It helps tremendously. One of my nurses recommended this. 14. Find other women in treatment to talk to. 15. You can save your hair if you want to with cold capping. 16. Watch out for shaming. Be aware of this as it’s insidious. “If I’d only eaten better.” “My stress caused my cancer.” “I didn’t work out enough.” YOU did not cause your cancer. It just is. Take on one small thing at a time. You do not have to change your lifestyle all at once or at all. 17. Do what you need to do to heal and process. 18. It’s ok to say NO. (I found meal delivery to be stressful, so I asked for gift cards.) 19. Breathe 20. Look for the magic be it in a cup of coffee, getting out of bed, a smile, or a chance to share your story to help another. Share your story and be the inspiration and light in someone else's journey.

Hearing the words “breast cancer” can instantly turn your world upside down. With so many types of breast cancer ,  knowing what lies ahead can feel overwhelming. However, understanding the difference between invasive and non-invasive breast cancer can offer some clarity and perhaps some light on the path forward. Each type has unique signs and symptoms, shapes treatment decisions, and influences the road to recovery.  Continue reading to learn about the distinctions, what they mean for you or your loved one, and how they might impact your treatment plan. What is Non-Invasive Breast Cancer? Non-invasive breast cancer, or in situ  breast cancer, refers to cancer cells that have not spread beyond their site of origin within the breast. Cancer cells remain confined to the ducts or lobules at this stage, and have not invaded surrounding breast tissue. The most common type of non-invasive breast cancer is ductal carcinoma in situ  (DCIS). Main Characteristics of Non-Invasive Breast Cancer: Containment : Cancer cells are confined to the breast ducts or lobules. Minimal Risk of Metastasis : Non-invasive cancers do not spread to other body parts. High Cure Rate : With early detection, treatments for non-invasive cancers—such as surgery or radiation—often result in successful outcomes. What is Invasive Breast Cancer? Invasive breast cancer is a more advanced type of cancer where cells have broken free from their initial location in the ducts or lobules and begun to invade surrounding breast tissue. This type of cancer has the potential to spread to nearby lymph nodes and other parts of the body, which can complicate treatment. Types of Invasive Breast Cancer: Invasive Ductal Carcinoma  (IDC) : This is the most common type of invasive breast cancer, accounting for about 80% of all cases. It begins in the milk ducts but invades surrounding tissue. Invasive Lobular Carcinoma  (ILC) : A type of invasive breast cancer that originates in the lobules, or milk-producing glands, and can spread to surrounding tissues. Diagnosing Invasive vs. Non-Invasive Breast Cancer Breast cancer diagnosis involves a combination of imaging tests, such as mammograms, MRI scans, and biopsy procedures. A biopsy is essential for determining whether the cancer is invasive or non-invasive and often informs the stage of the tumor. Non-Invasive Cancer : Typically appears as clusters of abnormal cells in the ducts or lobules. Invasive Cancer : Shows evidence of cell spread beyond the ducts or lobules. Treatment Options: How Invasiveness Influences Approach The invasiveness of breast cancer significantly impacts treatment recommendations. Here’s a general look at how treatment options vary: Non-Invasive Breast Cancer Treatment Treatment for non-invasive breast cancer typically involves local therapies, such as: Surgery : Options include lumpectomy (removing only the tumor) or mastectomy (removing the breast). Radiation Therapy : Often used after surgery to reduce recurrence risk. Because non-invasive cancers are less likely to spread, systemic therapies like chemotherapy are rarely necessary. Invasive Breast Cancer Treatment Invasive breast cancer often requires a multi-modal approach : Surgery : Typically, lumpectomy or mastectomy. Radiation : To reduce the risk of recurrence in the treated area. Chemotherapy : Used in cases where cancer has spread or is likely to. Hormone Therapy : For hormone receptor-positive cancers, this can slow or stop the growth of cancer cells. Immunotherapy : This involves activating and “training” the immune system in specific ways to target and destroy cancer cells. In many cases, it offers a tailored treatment option with fewer side effects than traditional therapies. Prognosis: What Patients Should Know The prognosis for both non-invasive and invasive breast cancer can be favorable with early detection. Non-invasive breast cancers generally have an excellent prognosis. In contrast, the outlook for invasive breast cancers depends on factors such as cancer stage, size, and whether it has spread to lymph nodes or other parts of the body. Count On Us for Information, Resources, and Support  If you or a loved one is dealing with non-invasive or invasive breast cancer, understanding the nature of the diagnosis is crucial for navigating treatment options and establishing a support plan. Speaking with healthcare professionals , connecting with cancer support groups , and educating yourself can provide comfort and empowerment. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Ductal Carcinoma in Situ (“Stage Zero” Breast Cancer): What You Need To Know Is Invasive Ductal Carcinoma (IDC) Curable? Understanding Lobular Breast Cancer: Insights, Diagnosis, and Treatment Understanding Your Pathology Report: A Comprehensive Step-By-Step Guide Questions to Ask Your Medical Oncology Team My Lobular Breast Cancer Story: Not a “Journey” On the Podcast: Breast Cancer Conversations My Black Experience with Stage II A Lobular Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Susan Marshall 1. You are allowed to feel and act whiny, tired and pathetic (unless you want to be heroic and stoic, which is fine too). In fact, you are allowed to act and feel however you want . If ever there was a time for not editing your feelings, that time is now. Make the most of it! 2. If people offer to help , gracefully accept if you think it will actually help, otherwise suggest they do something else. “Come round and vacuum my home, anyone?” (Nope – no one ever offers that.) Then thank everyone for everything profusely. Unless you don’t feel like it (see above). Don’t expect them to keep doing it. Once may be all you get. Be grateful. 3. If no one’s offering help, then ask. The worst they can do is say no and then you never have to speak to them again. 4. Yes, your hair will grow back – but boy does it still suck. And new boobs – well, that’s a whole post on its own. 5. The medical definition of “urgent” (e.g. appointments, test scheduling, results) may well be different from yours. No, really! Scanxiety is a thing. Forget about being patient – go straight to distractions; rubbish TV, trashy novels, carbs (plenty of those – it’s only temporary). Wine (but not too  much – you don’t want a scanxiety hangover as well).  6. Or – other options – super healthy foods , yoga, breathing. Anything that works for you . Swing wildly between the two extremes if you like. This will confuse your brain and endocrine system and make it harder to sit and panic. 7. On receiving “helpful” advice from people who’ve never been where you are – smile and wave.  8. As much as possible, rest. And more rest. Did I mention resting?   9. Some of your very bestest, bestest friends and family members  will be terrified out of their wits and ghost you as they run for the hills. Try to forgive them – but if you can’t, then you’re allowed to feel as hurt and angry as you like (see 1. above). Just try not to put it in writing to them. They may come back at some point. It’s up to you if you want to accept that. 10. When you feel totally furious about the whole thing and need to express it – go for it. Pillows are useful – you can cry or scream into them or thump them. Stomp around. Throw rolled-up socks at a wall. Find a rage room where you can pay to go and break stuff. Make yourself a playlist of rage music. Write furious letters to cancer, any medical staff you don’t like, the aforementioned best friends and family, etc. (but DON’T SEND THEM). And don’t kick the cat. Or your partner if you have one – (don’t take down your team). Otherwise whatever works.  11. Ok – well, this is a bonus 11th top tip – and possibly the most important – if anyone ever, under any circumstances, offers you a warm blanket – just say yes! More Stories from Our Breast Cancer Community: Cancer Sucks, and That’s Okay Remember You Are Not Alone No Scars to Your Beautiful Thoughts on October: Breast Cancer “All Too Aware” Month Learn More: Unlocking the Power of Emotional Intelligence: Taking Control of Your Cancer Experience Supporting Loved Ones with Breast Cancer: How to Offer Meaningful Help Making Food Choices During Breast Cancer Treatment Navigating Relationships After a Breast Cancer Diagnosis On the Podcast: Breast Cancer Conversations The Power of Storytelling in Breast Cancer Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Casey Kang Cancer changes more than just your body. It shakes up how you see yourself and leaves behind challenges that go way beyond the physical . Whether your treatment ends or is ongoing, people around you might expect life to “go back to normal” at some point, but for many of us, that’s far from reality.  This is especially true for those living with metastatic cancer . On the outside, everything may look fine, but inside, you’re still trying to figure out what normal even means now and move forward. Many people living with metastatic disease may look “healthy,” despite being in cancer treatment. It can be hard to continue to move forward when there is no treatment “finish line,” so to speak.   I understand the challenges of cancer treatment and beyond because I’ve been there myself. My name is Casey Kang, and I’ve faced cancer three times. The first time I was diagnosed, I was just 31. Cancer didn’t just challenge my body — it shook my confidence, my sense of self, and my ability to trust my own instincts. Through that journey, I learned something important: real healing takes more than time; it takes care, compassion, and courage to face what’s beneath the surface.   Here are three common ways trauma might be affecting your life, even if it’s been years since your treatment ended, and how you can start feeling more like yourself again.   You’re Keeping Busy to Avoid What’s Really Going On Staying busy can feel like a coping strategy, right? It’s easier to fill your time with work, errands, and taking care of everyone else than to sit still and face what’s really going on inside. But that constant busyness? It’s a form of avoidance, and while it might help in the short term, it doesn’t get rid of the underlying stress.   How it might look: You tell yourself, “I’m too busy,” and fill your schedule with tasks. You’re always on the go, focused on everyone else’s needs while ignoring your own. On the surface, it seems like you’ve got everything under control. But inside, there’s a growing sense of exhaustion and unease.   Avoiding your emotions might make you feel safe in the moment, but it only postpones the healing process. You don’t have to carry everything alone — it’s okay to slow down and make space for what you’re feeling . Slowing down doesn’t mean you’re weak; it means you’re giving yourself what you need to truly heal.   You Want to Make Changes, But You Feel Stuck You’ve probably told yourself, “I need to take better care of myself and get healthy ,” more times than you can count. You genuinely want to feel better — maybe that means exercising more , eating healthier, or finding time to rest. But every time you try to start, something seems to hold you back.   How it might look: You’ve got good intentions, but when it comes time to take action, things don’t go as planned. Maybe you start a new routine but can’t stick with it or keep telling yourself, “I’ll start tomorrow.” After a while, it’s easy to feel stuck and wonder if you’ll ever find the motivation again.   This isn’t about willpower, it’s about trauma. Trauma keeps your body stuck in survival mode, making it hard to find the energy to do what you know will help. The key isn’t forcing yourself to push harder; it’s about taking small, manageable steps and learning how to support yourself along the way.   You’re Waiting for Things to Get Better With Time How many times have you heard someone say, “Just give it time, and you’ll feel better”? Time alone doesn’t heal trauma. Without the right kind of care, those feelings of overwhelm, frustration, and exhaustion don’t fade; they build.   How it might look: You might think, “Maybe I just need more time,” or hear loved ones say, “It’ll be okay eventually.” But as the months or even years go by, you still feel stuck in the same place. I’ve worked with women who are 5, 10, and even 15 years post-treatment, and the feelings they’re struggling with haven’t gone away on their own. They just continue to magnify.   Trauma needs more than time; it needs compassion, patience, and the right tools to help your body release what it’s holding onto.   Trauma isn’t just something you think about something your body holds onto. You might be able to talk about what happened, but until your body feels safe again, those old patterns of stress and fear can stick around. That’s why you might feel fine one minute, and then something small — like a smell, a sound, or even a thought — can send you spiraling the next.   This is where somatic (body-based) healing comes in. Somatic healing focuses on gently tuning into your body, noticing what’s happening without judgment, and creating space for those sensations to shift. For example, a simple somatic practice might be taking a few minutes  to notice your breath or scanning your body for areas of tension. These exercises can help signal to your brain that you’re safe, reducing stress and promoting calm.   Unlike traditional talk therapy, which starts with your thoughts and works from the top down, somatic work takes a bottom-up approach by focusing on calming the body first so the mind can follow, making it easier to process emotions and regain a sense of control.   If any of this feels familiar, know this: you’re not broken, and you’re not alone. What you’re feeling is a normal response to an extraordinary experience. Healing isn’t about “fixing” yourself — it’s about offering yourself the same care and compassion you give to others.   You are surviving after a cancer diagnosis, and that’s no small thing. It takes strength, courage, and resilience every single day, whether you’re currently in treatment, finished with treatment, or living with metastatic disease. Now, it’s time to turn some of that strength inward – to care for yourself as deeply as you care for the people around you.  It’s now your full-time job to take care of yourself first. Maybe for the first time, ever.    Because you’re worth it. Every bit of it.   Casey Trauma-Informed Cancer Coach & 3x Survivor Together we are Stronger!     About the Author Casey Kang is a three-time cancer survivor and a trauma-informed cancer coach. Drawing from her personal experience and professional training, she is passionate about helping female cancer survivors move beyond survival mode and thrive in their “new normal” by addressing the emotional and physical impact of cancer trauma. Learn more about her 13-week program, A Happier Healthier You , here . SBC Meditations on Demand Read More: Permission to Feel Navigating Cancer Treatment With the Help of Energy Medicine The Psychological Impact of Breast Cancer: Strategies for Coping Exercise and Breast Cancer Metabolic Changes After A Breast Cancer Diagnosis Metastatic Breast Cancer: Understanding the Significance of Stage IV On the Podcast: Breast Cancer Conversations Somatic Experience, Applied Neurology & Inner Healing With Jennifer Wallace Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By William Laferriere We often hear about the dangers of too much sun exposure, but did you know that moderate sunlight can actually be a powerful ally for your health ? Let’s explore the numerous benefits that sunshine can bring to our physical and mental well-being. Vitamin D: The Sunshine Vitamin One of the most crucial benefits of sunlight is its role in vitamin D production . When our skin is exposed to UVB radiation from the sun, it triggers a process that converts 7-dehydrocholesterol into vitamin D3. This essential vitamin  plays a vital role in: Maintaining strong bones and teeth Supporting immune function Regulating blood pressure  and blood sugar Reducing inflammation Interestingly, it only takes about 10-15 minutes of daily sun exposure on your arms, hands, and face to produce adequate vitamin D levels. For those with darker skin tones, slightly longer exposure may be necessary. Mood and Mental Health Booster Have you ever noticed how a sunny day can instantly lift your spirits? There’s a scientific reason behind this phenomenon. Sunlight stimulates the production of serotonin , often referred to as the “happy hormone.” This increase in serotonin can: Elevate mood Reduce symptoms of depression and anxiety Promote an overall sense of well-being In fact, sunlight exposure is so effective at improving mood that light therapy is often recommended for treating various forms of depression, including seasonal affective disorder  (SAD). Sleep Quality and Circadian Rhythm Exposure to natural sunlight, especially in the morning, can help regulate your body’s internal clock, known as the circadian rhythm .  This regulation can lead to: Improved sleep quality Easier time falling asleep at night More energy during the day Other Health Benefits Beyond vitamin D production and mood enhancement, sunlight offers several other health benefits: Immune system support : Consistent sun exposure can help strengthen your immune system, potentially reducing the risk of illnesses and infections. Weight management : Some studies suggest that morning sunlight exposure may help with weight management by influencing metabolism. Skin conditions : Controlled UV exposure has been recommended by health organizations to treat certain skin conditions like psoriasis, acne, and eczema. Enjoying Sunlight Safely While the benefits of sunlight are numerous, it’s essential to practice sun safety: Limit exposure during peak hours (usually 10 a.m. to 4 p.m.) Apply sunscreen with at least SPF 30 for extended outdoor activities Wear protective clothing and sunglasses Seek shade periodically Remember, you don’t need excessive sun exposure to reap the benefits. Even short periods of sunlight can significantly impact your health and well-being. Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Nutrition After a Cancer Diagnosis EFT and Brainspotting: Complementary Therapies for Breast Cancer Recovery Packing a Care Bag for Cancer Treatment Controlling a Controllable: Thriving Through Exercise & Movement On the Podcast: Breast Cancer Conversations What is Energy Medicine with Inflammatory Breast Cancer Survivor Dianne Faure Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

After receiving a breast cancer diagnosis , it’s natural to feel uncertain, scared, and inundated with complex medical information. However, asking the right questions can help you gain clarity and confidence as you navigate the road ahead. By advocating for yourself and learning from medical professionals, you can make informed decisions about your treatment and care. Below are some essential questions to ask your doctor  to better understand your individual situation and make the right decisions for you. Understanding Your Diagnosis What Type of Breast Cancer Do I Have? Not all breast cancers  are the same. Ask for specific details about the characteristics of your tumor, such as hormone receptor status (estrogen receptor-positive or progesterone receptor-positive) and HER2 status. These factors significantly affect treatment options. What Stage is My Cancer, and What Does That Mean for My Treatment and Prognosis? Breast cancer is typically staged from 0 to 4 . Understanding your cancer stage helps clarify how far it has spread and will guide treatment recommendations. It’s important to understand whether the cancer has spread to lymph nodes or other organs. Your doctor can explain the staging criteria and their implications for your prognosis. Are There Any Additional Tests or Scans I Need Before Treatment? Additional diagnostics — like an MRI, CT scan, or PET scan — may be necessary to confirm the extent of your breast cancer. Ask if these tests are right for you and how they might influence your treatment plan. Should I Undergo Genetic Testing? Certain breast cancers are linked to genetic mutations like BRCA1 and BRCA2. Genetic testing can inform treatment strategies and help family members understand their own risks. Ask your doctor about genetic testing, especially if you have a family history of breast or ovarian cancer. Exploring Treatment Options What are My Treatment Options, and Which Do You Recommend? Common treatments for breast cancer include surgery, chemotherapy, radiation therapy, and immunotherapy. Hormone therapy may be recommended for people with hormone-positive breast cancer. Each has benefits, risks, and side effects. Work with your doctor to tailor a plan based on your specific cancer type and overall health. What is My Overall Prognosis? While no doctor can predict the future with certainty, understanding your prognosis can inform your mental and emotional preparations. Ask about factors that influence survival rates, such as the cancer’s stage, grade, and your individual health profile. How Long Will My Treatment Last, and What is the Follow- up Schedule? From surgery to radiation and beyond, each phase of treatment can vary in duration. Clarifying your timeline helps you plan for work, family obligations, and personal goals. Also, find out how often you’ll need check-ups or imaging post-treatment. What About Clinical Trials? Clinical trials  can offer cutting-edge treatments that might not be widely available. If standard treatments don’t seem optimal or if you want to explore innovative options, ask whether there’s a trial that might be a good fit for you. Is a Second Opinion Necessary? Seeking a second opinion  from another oncologist or a cancer center of excellence can provide extra reassurance or reveal alternative approaches. Most doctors understand and encourage this step. Assessing Possible Side Effects What are the Short-Term and Long-Term Side Effects of Each Treatment Option? Side effects vary widely. Chemotherapy can lead to hair loss, fatigue, and nausea, while radiation might cause skin changes and fatigue. Ask about potential long-term effects on the heart, bones, or other organs, so you can prepare for and minimize risks. Also, ask your doctor about the possibility of cognitive changes, such as chemo brain . Will Treatment Affect My Fertility? Some treatments can impact fertility . If you’re of childbearing age or considering future pregnancy, discuss fertility-preservation options — like egg or embryo freezing — before starting treatment. How Can I Manage Treatment-Related Side Effects? Medications, dietary changes, and supportive care options are available to help you cope. Ask for referrals to nutritionists, physical therapists, or mental health professionals who specialize in oncology support. Planning for Recovery and Support What Lifestyle Changes Should I Consider? A balanced diet, regular exercise, and stress management can support your recovery and improve your overall health. Ask for tailored recommendations on nutrition , fitness, and emotional well-being. How Will This Diagnosis Affect My Mental Health, and What Resources are Available? Depression, anxiety, and stress are common for anyone impacted by breast cancer. Ask your doctor about counseling, support groups , or mental health professionals who specialize in cancer care. Can I Work During Treatment, and What are My Rights? Many people continue working through treatment, but you may need workplace accommodations. Discuss your options and ask for help understanding disability rights  or Family and Medical Leave Act (FMLA) provisions. What Financial Resources or Assistance Programs Can Help Manage Treatment Costs? Cancer treatment can be expensive . Ask for information about financial counselors, nonprofit organizations, or other resources that can help cover medical bills, transportation, or lodging during extended treatments. Count On Us for Information, Resources, and Support Navigating breast cancer does not have to be a solitary journey. Your family, friends, and health care team can offer invaluable support, and a larger community of survivors and advocates is waiting to connect. Surrounding yourself with people who share your experience can provide emotional encouragement and practical insights. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org , a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care, to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Newly Diagnosed. Now What? Questions to Ask Your Oncologist Different Types of Breast Cancer Understanding the Different Stages of Breast Cancer: What You Need to Know Understanding Genetic Testing for BRCA1 and BRCA2 Mutations Clinical Trials Why a Second Opinion Matters for Breast Cancer The Psychological Impact of Breast Cancer: Strategies for Coping Coping With Expectations After a Breast Cancer Diagnosis: The Realities and Challenges Managing the Emotional Stages of a Breast Cancer Diagnosis How to Tell Your Friends and Coworkers You Have Breast Cancer On the Podcast: Breast Cancer Conversations Enhancing Patient-Provider Communication in Breast Cancer Care Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Kiara Ford  In our series on the financial side of breast cancer, we have already examined the breast cancer to poverty pipeline, and the economic toll a breast cancer diagnosis carries with it . But missing from this conversation is the question: what happens if you are already experiencing poverty when you are diagnosed with breast cancer ? More specifically, how would someone experiencing homelessness be able to detect, treat, and recover from breast cancer?  Continue reading to learn more about how homelessness can complicate breast cancer screening, diagnosis, and treatment. Homelessness: Breaking the Stigma Before answering this question, let’s define what it means to be a person experiencing homelessness. There are numerous toxic narratives attached to the word “homeless,” but it is important to remember that many of the prejudices are based on stereotypes and are not representative of the population. We must avoid making generalizations about people experiencing homelessness, because the circumstances that lead to homelessness can vary so greatly.  The Social Security Administration   defines a person experiencing homelessness as “an individual with no permanent living arrangement, i.e., no fixed place of residence.” This could be a family staying in transitional housing, a person fleeing domestic violence , or someone struggling with unemployment. The circumstances that lead to homelessness are most often complex and unique to the individual, so sweeping statements about the entire homeless population can be harmful. What can be said, however, is that most people experiencing homelessness will have to navigate financial hardship, limited resources, and instability. Breast Cancer Screening Barriers These difficulties are contributing factors to why unhoused people with breast cancer are almost twice as likely  to die as those with consistent housing. One of the greatest barriers is access to preventative care and early detection. For women at average risk, mammograms are recommended over the age of 40  every other year, in the hopes that the cancer can be found and treated as early as possible. One 2014 study   found that only 59% of unhoused women surveyed had had a mammogram in the past two years, and that 53% of those who had had one did not know the results.  The Toll of Delayed Cancer Detection and Treatment This lack of regular screening makes it more likely that cancer will be diagnosed later, which is compounded further by the fact that people experiencing homelessness may be forced to delay treatment. Doctors typically recommend   starting treatment soon after diagnosis in order to improve survival odds, but the barriers created by homelessness can make this impossible. One study   from Boston Medical Center found that 90% of patients in the sample deferred care by at least 30 days, and the average time between diagnosis and treatment was 98 days. The most common reasons given for these delays were comorbidities and mental illness interfering with treatment, having no place to recover after surgery, and inability to cover the cost of care.  Cancer Care is Prohibitively Expensive Covering the cost of care is one of the greatest barriers to healthcare in America, especially for those without insurance. Research   has shown that around 60% of people experiencing homelessness are not insured. Although many of this group would be eligible for coverage under Medicare or Medicaid, acquiring the necessary documentation and filling out the forms without an address can prove challenging. This leaves uninsured, unhoused people with limited options.  There are safety net hospitals , which receive federal funding to provide service to any patient in need, regardless of ability to pay. There are also medical respite facilities, which provide accommodation for individuals experiencing homelessness who are too sick to stay in a shelter or on the street, but not sick enough to be admitted to the hospital. While both these services provide vital care, they can also be difficult to locate and are not always accessible to people who may need them.  Homelessness is a complex issue, and it cannot be solved overnight, especially with a breast cancer diagnosis further complicating the situation. What we can do is meet people where they are, withhold judgments, and invest in screening programs such as mobile mammograms for lower-income individuals. Read more about safety net hospitals: https://healthcareconsumernavigatorcenter.com/consumer-information-navigator/section-4/safety-net-hospitals-resource-healthcare-consumers/ On the Podcast: Breast Cancer Conversations Breast Cancer and the Law: Resources for Patients and Caregivers About the Author: Kiara Ford is a graduate of Emerson College, where she majored in communication studies and minored in health and society. She is a certified community health worker and has worked extensively in disability advocacy. She is passionate about health equity, and hopes to raise awareness and increase understanding of patients’ rights through her work. From the Same Author: Metastatic Breast Cancer: Understanding the Significance of Stage IV Breast Cancer and Healthcare Access Within the Hispanic Community Inflammatory Breast Cancer: Breaking Down the Basics Datopotamab Deruxtecan Shows Promise in Clinical Trials Getting through the Holidays with Breast Cancer Overlaps Between Breast Cancer and Domestic Violence The Cost of Breast Cancer SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Kiara Ford  A breast cancer diagnosis brings about many losses. These may include the loss of ability to work and engage in family and social life as you once did, the fear of loss of life, and the loss of self-image. Breast cancer often leads to changes in appearance in ways that can feel dehumanizing or outside of traditional aesthetic standards.  While to some this loss may seem small compared to everything else being impacted by the disease, the blow to self-esteem these losses can cause is devastating, and contributes further stress to an already difficult situation. It is important to normalize the discussion of these losses and acknowledge that the pain they cause is valid. Continue reading to learn how side effects such as weight gain, hair loss, and surgical changes can impact those with cancer and how to acknowledge and process the emotions that come along with them. Treatment-Related Weight Gain Weight gain is a common side effect of breast cancer treatment . This can be caused by numerous factors. It may be more difficult to exercise  during cancer treatment due to pain, fatigue, and nausea. Additionally, some medications and treatments can cause weight gain, such as steroids or corticosteroids, which can increase appetite. Corticosteroids in particular can also increase fatty tissue, which may additionally cause loss of muscle mass.  Chemotherapy is another common cause of weight gain. Despite the nausea often associated with chemotherapy, some people find that treatment causes them to crave sweets and carbohydrates. Additionally, it can bring on early menopause , which can slow metabolism and cause weight gain around the stomach. On average, women gain between 5 to 14 pounds  over the course of a year during chemotherapy.  While these treatments can be life-saving, the side effects are incredibly difficult to experience. It is important to remember that our society, in particular, glorifies a “ thin ideal ,” which can make any amount of weight gain feel distressing. For those who are used to their body looking a certain way, this sudden loss of control can be deeply upsetting and cause major blows to their confidence and self-worth.  Chemotherapy and Hair Loss Another side effect of chemotherapy affecting an individual’s self-image is hair loss . Hair is something many people take for granted until they start losing it, at which point they realize what a major role it played in their confidence. Chemotherapy targets any fast-growing cells in the body in the hope of eradicating cancer cells, but this means it also targets the fast-growing cells in the roots of the hair. This typically causes hair to fall out about two to four weeks after the beginning of treatment. The amount lost and how quickly it falls out will depend on individual treatment, but any amount can feel overwhelming.   For women in particular, a long head of hair can be associated with beauty and femininity, and the loss of it can bring these two things into question. A bald head in women is also often identified as a sign of cancer, information which an individual may want to remain private. While there may be some comfort found in remembering that hair loss is usually temporary and that wigs can be worn during treatment, it is also important to acknowledge that even with these reassurances, hair loss can be upsetting. Mastectomies: A Permanent Physical Change One final and particularly important matter to discuss in relation to self-image is mastectomies. A mastectomy  is a surgery that removes all breast tissue, and may include some breast skin and the nipple in some cases. Unlike weight gain and hair loss, the bodily changes caused by a mastectomy are permanent, and may feel like a much heavier decision than other treatment options.  Although mastectomies and other breast surgeries can have benefits for both treating breast cancer and reducing the risk of recurrence, surgical recovery is physically difficult and can alter the way a woman regards her body. Reconstructive surgery  is an option that can help restore breast shape through the use of implants, tissue reconstruction, or a combination of both. This may help improve self-esteem for some people post-mastectomy, and may, in particular, help to restore feelings of femininity for those who desire it. That being said, breast reconstruction is a very personal decision, and many people opt instead for aesthetic flat closure . No one should feel obligated to have reconstructive surgery if they do not want it, and beauty is not contingent on breast tissue. Nevertheless, no matter the reconstruction decision, many people mourn the loss of their pre-surgery body. Physical Changes Compound Cancer Challenges Nothing about breast cancer is easy. Physical changes are just one more challenge that people with breast cancer face every day . When a health situation like cancer is out of someone’s control, it can be particularly painful to also lose control of physical appearance – something they had previously been able to craft and decide for themselves.  For people experiencing these changes, it’s important to acknowledge any challenging emotions as they come up and process them in your own time.  If someone you love is experiencing these physical changes, you may feel the urge to reassure them that they are beautiful no matter what. However, it’s also important to validate that what they are going through is hard, without dismissing their feelings. Listen to your loved one express themselves about these changes , and let them know that you’re there for them through it all. Read more: Metabolic Changes After A Breast Cancer Diagnosis A Patient-Centered Approach to Plastic Surgery Reconstruction The Choice to Go Flat On the Podcast: Breast Cancer Conversations Breast Reconstruction and Plastic Surgery Explained About the Author: Kiara Ford is a graduate of Emerson College, where she majored in communication studies and minored in health and society. She is a certified community health worker and has worked extensively in disability advocacy. She is passionate about health equity and hopes to raise awareness and increase understanding of patients’ rights through her work. From the Same Author: Metastatic Breast Cancer: Understanding the Significance of Stage IV Breast Cancer and Healthcare Access Within the Hispanic Community Inflammatory Breast Cancer: Breaking Down the Basics Datopotamab Deruxtecan Shows Promise in Clinical Trials Getting through the Holidays with Breast Cancer Overlaps Between Breast Cancer and Domestic Violence The Cost of Breast Cancer Homelessness and Breast Cancer SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Understanding a Stage IV Diagnosis with Compassion, Clarity, and Hope Being told you have metastatic breast cancer (MBC) is life-altering. Whether this is your first diagnosis (known as de novo MBC) or a recurrence after early-stage treatment, hearing the words “stage IV” or “metastatic” can bring a whirlwind of emotions—fear, confusion, disbelief, and questions about what happens next. This blog is for you. It’s here to help you understand what metastatic breast cancer is, how it’s treated, and what living with MBC can look like, all grounded in evidence-based information and compassionate care. What Does “Metastatic” Mean? Metastatic breast cancer—also called stage IV breast cancer—means that the cancer has spread beyond the breast and nearby lymph nodes to other parts of the body. Common sites of metastasis include the bones, liver, lungs, and brain. When breast cancer cells travel through the blood or lymphatic system to other organs, they can grow and form new tumors. Important to know : Even when breast cancer spreads to another part of the body, such as the liver or bones, it is still considered and treated as breast cancer—not liver or bone cancer. This is because the cells remain breast cancer cells. De Novo vs. Recurrent Metastatic Breast Cancer There are two ways someone can be diagnosed with MBC: De Novo Metastatic Breast Cancer This means that the cancer is stage IV from the very beginning. You may not have known you had breast cancer at all before the metastatic diagnosis. About 6–10% of women  in the U.S. are diagnosed de novo, according to the American Cancer Society. Recurrent Metastatic Breast Cancer This happens when breast cancer returns after treatment for an earlier-stage diagnosis. It may recur months or even years later and appear in a different part of the body. It’s important to know that recurrence is not your fault —cancer biology is complex, and even with the best treatment, some cells can remain hidden and later become active. Understanding the Biology of MBC Breast cancer is not one disease—it’s many, with different subtypes and behaviors. To understand your treatment options, you and your medical team will look at several key factors: Hormone Receptor (HR) Status HR-positive  means the cancer cells grow in response to estrogen and/or progesterone. These cancers can often be treated with hormone (endocrine) therapies . HER2 Status HER2-positive  cancers make too much of the HER2 protein, which promotes cell growth. They may respond to targeted therapies  like trastuzumab (Herceptin), pertuzumab, or newer agents. Triple-Negative Breast Cancer (TNBC) These tumors are negative for estrogen receptors, progesterone receptors, and HER2. TNBC tends to be more aggressive and may be treated with chemotherapy  or immunotherapy , depending on biomarkers like PD-L1. Knowing your cancer’s subtype helps guide your treatment plan and gives insight into how the disease might behave. Where Can Metastatic Breast Cancer Spread? Breast cancer can metastasize to many areas of the body, but the most common include: Bones : The most frequent site. Symptoms may include bone pain or fractures. Liver : May cause pain in the upper right abdomen, fatigue, or abnormal liver tests. Lungs : May cause a persistent cough or trouble breathing. Brain : Less common but may lead to headaches, vision changes, or balance issues. Your doctor may order scans such as CT, PET, MRI, or bone scans to assess the extent of spread. This process is called staging , and it’s crucial for determining your treatment options. How is Metastatic Breast Cancer Treated? Unlike early-stage breast cancer, the goal of MBC treatment is not cure but control . Many people live for years with MBC, managing it as a chronic condition . Treatment aims to: Slow the cancer’s growth Relieve symptoms Maintain or improve quality of life Several plans can provide personalized treatment. Systemic Therapies These are drugs that treat the whole body: Hormone therapy : For HR-positive cancers Targeted therapy : For HER2-positive or BRCA-mutated cancers Chemotherapy : Especially for fast-growing or hormone-resistant cancers Immunotherapy : For certain TNBC patients with PD-L1 expression Radiation Therapy Used to relieve pain or control tumors in specific areas, like bones or the brain. Surgery Rarely used in MBC, but in some cases, it may help control symptoms or remove a primary tumor if it's causing problems. Clinical Trials Clinical trials offer access to emerging therapies and are a key part of advancing treatment. Ask your doctor or visit clinicaltrials.gov  for options. Living With Metastatic Breast Cancer A metastatic diagnosis changes your life—but it doesn’t define you. Many women live full, meaningful lives while managing treatment. Here's what helps: Building Your Care Team This includes your oncologist, oncology nurse, radiologist, social worker, palliative care team, and perhaps a counselor or therapist. You deserve a team that listens, respects your goals, and partners with you in decision-making. Symptom Management Also called palliative care, this includes pain relief, managing fatigue, and treating side effects like nausea or neuropathy. It’s not about giving up—it’s about living better. Mental and Emotional Health It’s normal to feel overwhelmed, anxious, or even numb. You’re not alone. Support groups, therapy, expressive writing, and connecting with others who understand can be lifelines. Tip: Organizations like SurvivingBreastCancer.org  offer free programs, peer support, and weekly community meetups just for MBC thrivers. Planning for the Future Planning can bring peace of mind. This might mean talking about your hopes, bucket lists, or creating an advanced care plan. Having these conversations can help you feel more in control and supported. Common Myths About MBC Let’s bust a few myths, including: Myth 1 : Metastatic breast cancer is a death sentence. Truth : While it is not curable, many people live for years—some for a decade or longer—with MBC thanks to advances in treatment. Myth 2 : If the cancer spread, something went wrong with my treatment. Truth : No. Cancer can be unpredictable. Metastasis can occur even after doing everything “right.” Myth 3 : I must start chemotherapy right away. Truth : Treatment depends on many factors, and not everyone starts with chemo. There may be less aggressive options with fewer side effects. Hope and Progress in MBC Research There has never been more progress in understanding and treating metastatic breast cancer than there is today. Some recent advances include: CDK4/6 inhibitors  (like Ibrance, Kisqali, Verzenio) for HR-positive MBC Antibody-drug conjugates  like Enhertu and Trodelvy Immunotherapies  like Keytruda for certain TNBC patients PARP inhibitors  for those with BRCA mutations More clinical trials are focused on personalized medicine, liquid biopsies, and novel pathways to outsmart cancer cells. Researchers are listening to patient voices more than ever, driving innovation with humanity at the center. You Are Not Alone A metastatic diagnosis can be isolating, especially if others in your life don’t understand what “stage IV” really means. But there is a powerful community of people—other thrivers, caregivers, advocates, researchers, and healthcare providers—walking this road with you. Take things one step at a time. Ask questions. Seek support. And give yourself permission to grieve, hope, rest, and live—however that looks for you. You are more than your diagnosis. You are resilient, powerful, and not alone. Resources You Can Turn To Metastatic breast cancer is complex, but understanding your diagnosis is the first step toward taking back some control. As you move forward, remember: you don’t have to have all the answers today. You just have to keep showing up for yourself, one day at a time. You are worthy of support, quality care, and love. And we’re here for you—every step of the way. SurvivingBreastCancer.org : Free MBC meetups, blogs, meditations, and expressive writing programs Metastatic Breast Cancer Network : mbcn.org Living Beyond Breast Cancer : lbbc.org METAvivor : metavivor.org

A Deep Dive into Targeted Therapies for HR+, HER2-low, Triple-Negative, and BRCA-Associated MBC If you’ve recently been diagnosed with metastatic breast cancer (MBC), it can feel like you’re suddenly thrust into a new world filled with acronyms, treatment decisions, and unfamiliar terminology. One of the most empowering things you can do right now is to begin learning about the tools available to you. We take a deeper look at four innovative categories of treatment that are changing the landscape of metastatic breast cancer care: CDK4/6 inhibitors for hormone receptor-positive (HR+) MBC Antibody-drug conjugates like Enhertu and Trodelvy Immunotherapies for some triple-negative breast cancers (TNBC) PARP inhibitors for people with inherited BRCA mutations Each of these therapies offers new hope, especially as treatment becomes more personalized based on tumor biology. Let’s break each one down. CDK4/6 Inhibitors: Targeting Cell Cycle in HR+ MBC What are They? CDK4/6 inhibitors are a class of drugs that target two proteins—cyclin-dependent kinases 4 and 6—which are involved in cell division. In many HR+ breast cancers, these proteins are overactive, causing cancer cells to grow uncontrollably. By blocking CDK4/6, these drugs slow or stop the growth of cancer cells while allowing normal cells to recover. Common CDK4/6 inhibitors include: Ibrance (palbociclib) Kisqali (ribociclib) Verzenio (abemaciclib) Who Gets Them? These therapies are used in people with hormone receptor-positive, HER2-negative metastatic breast cancer, which is the most common subtype of MBC. They are typically used in combination with hormone therapy such as letrozole or fulvestrant, especially for those who are newly diagnosed with MBC or whose cancer has recurred after initial endocrine therapy. What To Expect: CDK4/6 inhibitors are taken orally (as pills), often in 3-week-on, 1-week-off cycles, depending on the specific drug. Common side effects include: Low white blood cell counts (neutropenia) Fatigue Nausea Diarrhea (more common with Verzenio) Hair thinning Routine blood work is important to monitor how your body is responding. Why They Matter: CDK4/6 inhibitors have significantly extended progression-free survival—and in some cases, overall survival—for patients with HR+ MBC. Kisqali, for example, has shown particularly strong overall survival data in clinical trials. Antibody-Drug Conjugates: Precision Medicine in Action What are They? Antibody-drug conjugates (ADCs) are a new generation of cancer therapies that combine the targeting power of monoclonal antibodies with the cancer-killing power of chemotherapy—but delivered with precision. Think of ADCs like a “smart bomb”: The antibody seeks out cancer cells with a specific protein. Once attached, the chemotherapy payload is delivered directly into the cancer cell, sparing more of the healthy tissue. Groundbreaking ADCs include: Enhertu (trastuzumab deruxtecan): Targets HER2-low and HER2-positive breast cancers. Trodelvy (sacituzumab govitecan): Approved for triple-negative breast cancer (TNBC) and HR+/HER2- MBC that has already been treated with endocrine and chemotherapy. Who Gets Them? Enhertu is for people with HER2-positive MBC and more recently for HER2-low breast cancers, which now includes many patients previously considered “HER2-negative.” Trodelvy is used in TNBC after two prior therapies or in HR+ MBC after hormone and chemo treatment. What To Expect: These drugs are given by IV infusion every few weeks. Your team will monitor your blood counts, heart function, and watch for any lung-related symptoms (especially with Enhertu). Common side effects: Nausea Hair loss Fatigue Diarrhea Neutropenia (low white blood cells) Enhertu also carries a risk of interstitial lung disease (ILD), so early detection of coughing, shortness of breath, or chest tightness is important. Why They Matter: ADCs represent precision-targeted therapy that gives more treatment options for people whose tumors don’t respond well to traditional chemo. Enhertu, in particular, has transformed care for the newly defined category of HER2-low breast cancer—a group that includes nearly 50% of patients with MBC. Immunotherapy: Boosting Your Body’s Defense Against TNBC What is It? Unlike chemo or targeted drugs that attack the cancer directly, immunotherapy helps your own immune system recognize and attack cancer cells. In breast cancer, immunotherapy has shown the most promise in triple-negative breast cancer (TNBC), which tends to be more aggressive and harder to treat. Key Immunotherapy Keytruda (pembrolizumab) is a PD-1 checkpoint inhibitor that works by removing the "brakes" from immune cells, allowing them to detect and fight cancer. Who Gets It? Keytruda is used in TNBC that is PD-L1 positive, a marker found via biopsy or molecular testing. It is often given in combination with chemotherapy as a first-line treatment for metastatic TNBC. What To Expect: Immunotherapy is usually given as an IV infusion every 3 or 6 weeks, often alongside chemo. Common side effects include: Fatigue Rash Nausea Because immunotherapy revs up the immune system, it can also lead to immune-related side effects like: Inflammation in the lungs (pneumonitis) Colitis Thyroid issues Your team will monitor you closely and may use steroids to manage side effects. Why It Matters: Immunotherapy has extended survival in some TNBC patients and offers a much-needed option for a group that previously had few targeted therapies. PARP Inhibitors: Targeting BRCA-Mutated Cancers What are They? PARP inhibitors work by exploiting a weakness in cancer cells with BRCA mutations—a kind of inherited mutation that affects the way cells repair DNA damage. In BRCA-mutated cancer cells, the DNA repair machinery is already compromised. PARP inhibitors make it even harder for these cells to fix themselves, leading to cancer cell death while sparing normal cells. Common PARP inhibitors include: Olaparib (Lynparza) Talazoparib (Talzenna) Who Gets Them? These are used in people with HER2-negative metastatic breast cancer who also have an inherited BRCA1 or BRCA2 mutation. If you haven’t already had genetic testing, talk to your oncologist. Finding a BRCA mutation can open the door to these treatments and inform family risk. What to Expect: PARP inhibitors are oral pills, typically taken once or twice a day. Common side effects include: Fatigue Nausea Anemia Low platelet or white blood cell counts Routine blood work helps monitor for side effects. Why They Matter: These drugs offer a targeted alternative to chemotherapy and have been shown to improve progression-free survival in people with BRCA-associated MBC. For many, they’re also better tolerated than traditional chemotherapy. Bringing It All Together Navigating metastatic breast cancer is complex, but you don’t have to do it alone—and you don’t have to understand it all at once. What matters most is that you begin to learn about your options and feel empowered to ask questions.

Why Am I Still Here When Others Are Gone? You’re still here—living, breathing, laughing, grieving. But in the quiet spaces between treatments or in the wake of hearing about someone’s passing, there’s a question that creeps in: “Why Them and Not Me?” If you’ve ever felt this way, you’re not alone. Many people living with metastatic breast cancer (MBC) or in remission/no evidence of disease/no evidence of active disease after treatment experience a complex emotional weight known as survivor’s guilt . Let's explore survivor’s guilt is, why it shows up, how it affects our emotional health, and what we can do to cope with it—together. What is Survivor’s Guilt? Survivor’s guilt is a form of emotional distress that occurs when someone survives a traumatic event—or outlives others who did not—especially when death or suffering feels arbitrary or unfair. In the context of metastatic breast cancer, survivor’s guilt may arise when: You outlive the prognosis given to you or others Friends from support groups or online communities pass away You respond well to treatment, while others do not You’re no longer in active treatment, while others are struggling You feel joy, relief, or “normalcy” after witnessing someone else’s decline Survivor’s guilt doesn’t mean you’re ungrateful or that you don’t value your life. It means you’re human—and you have the capacity to hold both grief and gratitude at the same time. Why Do We Feel Survivor’s Guilt? There’s no single cause. Survivor’s guilt is often tied to: 1. Empathy and Connection You form strong bonds with others in the MBC community. When someone dies, it’s deeply personal. Their loss isn’t abstract—it’s someone you laughed with, shared treatments with, or saw parts of yourself in. 2. A Sense of Injustice MBC is unpredictable. Two people with similar diagnoses can have very different outcomes. Survivor’s guilt can stem from the unfairness of that randomness. 3. Fear of Being Next Sometimes guilt is tangled up with fear. Watching others die from metastatic disease is a constant reminder of your own mortality. Survivor’s guilt becomes a way to brace for what might happen to you. 4. Cultural Messages We’re often told to “fight” cancer and “stay strong,” which can falsely imply that those who die somehow didn’t fight hard enough. This toxic narrative feeds guilt and shame, even though outcomes are determined by biology—not effort. What Are the Symptoms? Survivor’s guilt can show up emotionally, physically, and psychologically. It may overlap with anxiety, depression, or post-traumatic stress. You might notice: Persistent sadness  or feelings of heaviness Irrational thoughts  like “I didn’t deserve to live” or “I’m just lucky” Avoidance  of joy, happiness, or planning for the future Withdrawal  from your support community or social circles Increased anxiety , especially around scans or treatment updates Insomnia  or trouble concentrating Emotional numbness  or feeling disconnected from your own survival It’s important to name these feelings—not to pathologize them, but to validate them. You are not “wrong” for feeling this way. You are processing something deeply human. What Does It Mean to Be Surviv-ING? The word "survivor"  can feel complicated, especially in the MBC community, where the disease is considered incurable. Some people with metastatic breast cancer resist the term altogether, while others embrace it with pride. Whether or not you identify with the word, being alive— still here —means you're navigating the emotional complexity of survivorship. That includes living with the loss of others who walked beside you. Remember: There is no right or wrong way to be a survivor. Whether you live for five years, ten, or longer, your life matters. You don’t have to “deserve” your survival. You just are. And that is enough. How Do We Cope With Survivor’s Guilt? Coping starts with acknowledging your feelings and allowing yourself to experience them without judgment. Here are some ways to navigate survivor’s guilt with care: 1. Talk About It Speak with a therapist, a support group, or trusted friends. Many people in the MBC community understand this feeling and are relieved to know they’re not the only ones carrying it. SurvivingBreastCancer.org offers weekly metastatic breast cancer support groups, expressive writing sessions, and community meetups that can be safe spaces to open up. 2. Name It Without Shame Say it aloud or write it down: “I feel guilty that I’m still alive when others aren’t.” Naming it can reduce its power and give you space to explore what’s underneath. 3. Honor Those You’ve Lost Creating rituals to remember friends—lighting a candle, saying their names, dedicating a walk or a creative piece—can help channel grief into connection. You can live for  them, with  them in your heart, without carrying the guilt of their absence. 4. Give Yourself Permission to Enjoy Life Joy and grief can coexist. Allowing yourself to feel joy, make plans, or celebrate milestones does not mean you’re forgetting others. In fact, it honors life—theirs and yours. 5. Practice Self-Compassion Speak to yourself the way you would to a friend: “It’s okay to feel this way. I miss them. I don’t have to justify my survival. My life matters.” 6. Seek Meaning Some people find meaning by getting involved in advocacy, supporting others, fundraising, or sharing their story. Others find solace in quieter forms of reflection, like journaling or creating art. You don’t have to “do” anything to earn your place—but finding a sense of purpose, however small, can be healing. You Are Not Alone Survivor’s guilt can feel isolating, but it’s a shared experience across the MBC community. It’s a sign of your depth of care, your empathy, your humanity. There is room for you to mourn and rejoice, to grieve and celebrate, to remember and move forward—all at the same time. You are still here. And that matters. Survivor’s guilt is not a sign of weakness or ingratitude—it is a mirror of the deep emotional bonds and losses that come with living alongside metastatic breast cancer. Your feelings are real and valid. As you navigate this complex path, remember: your life has meaning, your story matters, and you don’t have to carry your grief alone. The MBC community is walking this road with you—with open arms and open hearts. If you need support, please reach out: SurvivingBreastCancer.org Support Groups Cancer Support Community Metastatic Breast Cancer Alliance Crisis Text Line : Text HOME to 741741 for free 24/7 support

By Elisa Herrera Facing Cancer Far from Home A cancer diagnosis is an immense challenge, and for those who have migrated to another country, the struggle can be even more complex. Being far from family, navigating a foreign language, and facing limited access to healthcare are just some of the obstacles Latino migrants diagnosed with cancer encounter. At Después de un Diagnóstico  (a service of SurvivingBreastCancer.org ), we understand these difficulties and are committed to providing support every step of the way. Barriers to Healthcare Access Latino migrants often face significant challenges when trying to access quality medical care. Some of the most common barriers include: Language barriers: Not all hospitals and clinics have Spanish-speaking staff, making it difficult to understand diagnoses and treatments.  Note: In the United States, federally-funded healthcare facilities are required to provide language access support, including professional translation and interpreting services, by request, under Title VI of the Civil Rights Act of 1964, and Section 1557 of the Affordable Care Act. Learn more from the U.S. Department of Health and Human Services . Lack of health insurance: Many individuals with uncertain immigration or documentation status lack adequate health insurance coverage, limiting their treatment options. Navigating an unfamiliar healthcare system: Understanding and accessing care in a different country can be overwhelming and confusing. Emotional impact of isolation: Being far from family and a familiar support system intensifies the emotional distress of an individual’s cancer diagnosis and treatment. Resources and Support for the Latino Community In response to these challenges, resources are available to help migrants facing cancer. At Después de un Diagnóstico , we provide Spanish-language information, virtual support groups , and guidance to ensure that no one faces this disease alone. Some of the most valuable resources include: Spanish-language support groups : Safe spaces where individuals diagnosed with cancer can share their experiences and receive encouragement from others who understand their experience. Emotional well-being and self-care : Strategies to manage anxiety, depression, and stress related to both cancer and migration. Educational webinars with experts : Reliable information for patients, caregivers, and families to help them navigate treatment and care. The Power of Community Support Building a strong support network is essential while facing cancer. While being physically distant from loved ones can be difficult, connecting with online support groups and cancer communities can make a significant difference. At Después de un Diagnóstico , we foster connections among Latino patients and caregivers to create a meaningful and supportive network. Find Help at Después de un Diagnóstico If you or someone you know is facing cancer far from home, you’re not alone. Después de un Diagnóstico  offers information, resources, and a Spanish-speaking community of support. Visit www.despuesdeundiagnostico.org  to discover how we can help you in your experience with cancer. Together, we are stronger. 💕 More Resources: Spanish-language blog Twice-monthly Spanish-language support groups Después de un Diagnóstico YouTube Spanish-language podcast, Después de un Diagnóstico

Breast cancer treatment is a physical, emotional, and mental challenge. Facing cancer and its side effects demands extraordinary physical, emotional, and spiritual stamina. One of the most common side effects is the overwhelming fatigue that can accompany not only cancer but also many treatments, like chemotherapy. This fatigue is more than just feeling tired after a long day; it’s a deep exhaustion that rest alone doesn’t always fix. If you’re feeling this way, you’re not alone. Managing fatigue is crucial, not only for your body but also for your overall well-being and recovery. Continue reading to learn why this fatigue occurs, everyday tips to help you conserve energy, and how to work closely with your healthcare team to feel more like yourself again. Why Does Fatigue Occur During Breast Cancer Treatment? Fatigue during breast cancer treatment can stem from various causes, including: Cancer-related biological changes: Some types of breast cancer affect hormones like estrogen and progesterone  that influence energy levels and can put an energy-intensive strain on your immune and other systems.  Nutritional deficiencies:  A loss of appetite or dietary restrictions can lead to low energy levels. (Check out SBC’s resources on managing nutrition  through treatment.) Chemotherapy and radiation therapy:  These treatments can cause anemia and inflammation, leading to exhaustion. Medications:  Drugs used during treatment, such as pain relievers and anti-nausea medications, may cause drowsiness. Emotional stress:  Anxiety and depression associated with cancer can also contribute to fatigue. Sleep disturbances:  Pain, stress, or treatment effects can interfere with sleep . What Does Cancer-Related Fatigue Feel Like? Cancer-related fatigue differs from everyday tiredness. It is a persistent, overwhelming sense of physical, emotional, and mental exhaustion not relieved by rest or sleep. Unlike typical tiredness, this type of fatigue can significantly impact a person’s ability to carry out daily activities. Cancer-related fatigue often affects quality of life, making it difficult for individuals to concentrate, engage in social activities, or maintain a sense of well-being.  7 Practical Tips to Conserve Energy During Treatment 1. Prioritize Your Energy Focus on the activities that matter most to you. Make a list of daily tasks and rank them by importance. Delegate less critical tasks to family and friends. Tip:  Try using a planner to schedule activities when you feel most energetic. 2. Practice the “4 Ps” of Energy Conservation The National Comprehensive Cancer Network  recommends these techniques for managing cancer-related fatigue. The four Ps — plan, prioritize, pace, and position — can help you manage daily activities without overexerting yourself. Plan:  Combine errands and rest between activities. Prioritize:  Focus on must-do tasks. Pace:  Don’t rush. Break tasks into manageable steps. Position:  Sit while doing chores like cooking or brushing your teeth. 3. Stay Physically Active (But Gently) While it might seem counterintuitive, light exercise can help combat fatigue . Activities like short walks, gentle yoga, or stretching can boost energy levels. Talk to your doctor before starting any exercise routine. Check out SBC’s upcoming yoga and Pilates classes on our event calendar , or check out our On-Demand library  for recordings! 4. Optimize Your Sleep Routine A good night’s sleep can make a significant difference. Try these sleep-friendly habits: Keep a consistent bedtime and wake-up schedule Create a calming bedtime routine — read a book, take a warm bath, or practice meditation Avoid caffeine and heavy meals before bed 5. Eat Nutritious Foods Eating balanced meals  fuels your body. Focus on: High-protein foods like eggs, nuts, and beans Fresh fruits and vegetables Whole grains A registered dietitian can help you develop a meal plan that supports your energy levels during treatment.  6. Manage Stress and Emotions Emotional exhaustion can worsen fatigue. Try: Mindfulness or meditation to calm your mind Counseling or support groups — talking to others who understand can help. Join SBC for Thursday Night Thrivers , our weekly virtual support group with special meetups for metastatic breast cancer, early-stage breast cancer, inflammatory breast cancer, and a Spanish-language group! 7. Communicate With Your Healthcare Team Persistent fatigue should never be ignored. Discuss these questions with your care team: Could my fatigue be related to anemia or thyroid issues? Could my medications be adjusted to relieve my fatigue? Would physical or occupational therapy  help me with my fatigue? Your care team can tailor treatments to manage your fatigue better. Sudden or severe fatigue can sometimes indicate a medical emergency. Contact your healthcare provider immediately if you experience: Shortness of breath Dizziness or confusion Rapid heartbeat Difficulty staying awake These could signal complications like infection or heart issues requiring additional care, so be sure to reach out if you notice sudden changes. Count On Us for Information, Resources, and Support  Managing fatigue during breast cancer treatment is about balance — knowing when to rest, how to conserve energy, and when to ask for help. Every person’s experience is unique, so be kind to yourself and adjust your routines as needed. Remember, you’re not alone. Rely on your healthcare team, loved ones, and support networks to help you through this time. Whether you’re newly diagnosed with breast cancer , are navigating survivorship, or are the loved one of someone experiencing breast cancer, you can count on SurvivingBreastCancer.org to keep you informed. We provide educational information to help you better understand symptoms , testing, treatment options , surgery, etc., and podcasts  that feature professionals, advocates, and caregivers who share valuable information. Your donations  enable SurvivingBreastCancer.org — a community dedicated to empowering those affected by breast cancer with knowledge, understanding, and a network of care — to offer resources and support every day, every month, and every year.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read More: Improving Diet and Sleep During Cancer Treatment Exercise and Breast Cancer Nutrition After a Cancer Diagnosis What is Breast Cancer Rehab? On the Podcast: Breast Cancer Conversations Understanding Nurse Navigation: Support and Resources for Cancer Patients Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

By Kiara Ford  For most people, their breast cancer experience begins with a diagnosis from a screening or the onset of symptoms. It can come as an icy shock that feels impossible to anticipate. But others may spend years anticipating a diagnosis, aware that they are at an increased risk long before they even have symptoms. For these individuals, genetic testing has shown mutations that are associated with increased cancer risk, such as mutations of the BRCA1 and BRCA2 genes . These people are often called “ previvors ,” a term coined by Sue Friedman, the founder of Facing Our Risk of Cancer Empowered ( FORCE ), a group which aims to support individuals and families facing hereditary cancer. In medical terms, it is more common for practitioners to refer to a specific risk factor a patient carries but has yet to present symptoms of, such as “ unaffected BRCA mutation carrier .” But for many previvors, the idea that they have been “unaffected” by their genetic risk rings false. For those who know they have an elevated lifetime risk of developing breast cancer , this awareness can be life-altering. Not only can it change their personal perception of their health, but many previvors choose to take steps to mitigate their risk  of developing cancer. This may include genetic testing for additional family members, increased screening, and preventative surgery.  Continue reading to learn more about genetic testing for cancer risk, and what measures someone can take to reduce their chances of developing cancer associated with a genetic mutation. Who Should Have Genetic Testing? Genetic testing aims to identify if an individual is a carrier for certain genetic mutations  which can increase the lifetime risk of developing breast cancer, as well as other cancers. Prior to testing, many individuals will first meet with a genetic counselor  to decide if testing is beneficial for them or their family.  According to the Centers for Disease Control and Prevention ,  some of the factors for which genetic testing is recommended include: Family history of breast or ovarian cancer Ashkenazi or Eastern European Jewish ancestry personal history of breast, ovarian, fallopian tube, or primary peritoneal cancer Known mutation in the breast cancer (BRCA) genes in someone in your family This being said, each person’s history and risk will vary based on a multitude of factors. A genetic counselor can help assess and personalize testing recommendations.  If the test results are positive, indicating that there is a mutation in the BRCA genes, further steps can then be taken to increase the likelihood of early detection or reducing the risk of breast cancer. Reducing Risk with Chemoprevention There are a few medications which can be taken to possibly reduce risk of cancer. Known as chemoprevention , these drugs are the subject of ongoing research, but do show some promising results . Medications such as tamoxifen, raloxifene, and aromatase inhibitors work by blocking or inhibiting the body’s ability to produce estrogen, a hormone which can potentially help grow many different kinds of breast cancers. Each of these medications functions differently, and like any medical intervention, carry with them risks of side effects. However, many previvors, after discussing with their healthcare providers , have decided that chemoprevention is a worthwhile treatment for them.  Early Detection is Key One of the most key determinants in treating breast cancer is early detection. When caught early, while the cancer is still localized, the five-year survival rate for breast cancer is 99% . This is why for many previvors who are aware of their genetic risk, increased cancer screening is crucial. This may include  mammograms, breast MRIs, breast CTs, ultrasounds, molecular breast imaging, thermography, biopsy, or manual breast exams, in which a patient or provider manually feels for differences or abnormalities in the breast (also called a breast self-exam or clinical breast exam).  Healthcare providers will often recommend more than one of these tests to confirm a breast cancer diagnosis . The provider’s choice of test(s) will depend on factors such as age, family history, breast density, and available technology. Ultimately, a biopsy will typically be used to fully confirm the pathology of anything suspected to be malignant (cancerous). While none of these screenings will prevent the development of breast cancer, they can be instrumental in catching and treating it early.  Reducing Risk with Prophylactic Mastectomy For previvors looking for options to reduce the risk of breast cancer before it develops, prophylactic (preventative) surgery  may be an option worth considering. The most common surgery used to address high susceptibility to breast cancer is mastectomy, a procedure in which all breast tissue is removed from the breast. There are different types of mastectomy , some of which may opt not to remove the nipple and areola (called “nipple-sparing”). This option is associated with slightly lower risk reduction , but allows for a more natural look post-recovery. On the other hand, a skin-sparing mastectomy removes the nipple and areola in addition to breast tissue. Bilateral mastectomy, or removal of both breasts, has been shown to be very effective in reducing one’s risk of breast cancer. For carriers of a BRCA gene mutation, bilateral mastectomy has been shown to reduce risk by over 95% . For people with a strong family history of breast cancer, it can reduce risk by up to 90%. Mastectomies are not a guarantee that cancer will never develop, but for many previvors, the risk reduction can be greatly beneficial to them.  Previvorship is Personal Not everyone with increased risk of breast cancer identifies as a previvor, and everyone will choose a different treatment path , if any, to address their genetic predisposition. The relationship between a person and their increased risk of cancer is deeply individual, and they should be allowed space to navigate in their own time , in a way that feels right for them. However, for those who do decide they want to take steps to address their heightened risk, there are many screening and treatment options, as well as a community of other previvors there to support them.  Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. Read more: Understanding Genetic Testing for BRCA1 and BRCA2 Mutations The Power of Knowledge (My BRCA Story) My Previvor Story From Fear to Freedom: Embracing a Risk Reduction Mastectomy On the Podcast: Breast Cancer Conversations Michelle Sandlin, Living Her Best Life with BRCA 1 About the Author: Kiara Ford is a graduate of Emerson College, where she majored in communication studies and minored in health and society. She is a certified community health worker and has worked extensively in disability advocacy. She is passionate about health equity, and hopes to raise awareness and increase understanding of patients’ rights through her work. From the Same Author: Metastatic Breast Cancer: Understanding the Significance of Stage IV Breast Cancer and Healthcare Access Within the Hispanic Community Inflammatory Breast Cancer: Breaking Down the Basics Datopotamab Deruxtecan Shows Promise in Clinical Trials Getting through the Holidays with Breast Cancer Overlaps Between Breast Cancer and Domestic Violence The Cost of Breast Cancer Homelessness and Breast Cancer The Impact of Breast Cancer on Self-Image SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

Cancer treatment is often fraught with physical, emotional, and psychological challenges. Amidst the whirlwind of appointments and treatments, one of the most critical yet frequently overlooked aspects of recovery is nutrition . What we consume is pivotal in supporting healing and empowering survivors and thrivers to reclaim their health, redefine their lives, and reject the limiting mindset of a "new normal." Nutrition Matters for Cancer Recovery First and foremost, attention to macronutrients —protein, carbohydrates, and healthy fats—is essential during and after cancer treatment. Protein  in particular, has emerged as a cornerstone of recovery, helping rebuild tissues, support immune function, and combat the severe fatigue often associated with treatment. Adequate intake of protein isn’t just about dietary preference—it’s about giving the body the essential tools it needs to heal and thrive. Unfortunately, nutrition is sometimes downplayed during treatment, with patients being told they can "eat whatever they want." Yet, a substantial body of research links diet quality  to better health outcomes for those diagnosed with cancer. What and how we eat truly matters. Equally important are micronutrients  like antioxidants  and fiber . Berries, for instance, are rich in antioxidants that combat oxidative stress, while fiber is known to play a role in lowering the risk of cancer recurrence. Prioritizing whole, nutrient-dense foods over processed options can significantly enhance the body’s ability to recover and reduce the risk of future disease. Nutrition is not one-size-fits-all. People diagnosed with cancer are encouraged to develop personalized nutrition plans  that take into account their unique needs, preferences, and health goals. Self-reflection on dietary habits—transitioning away from convenience foods and toward intentional, mindful eating—is an important and empowering step on the path to recovery. Breast Cancer Conversations, the podcast, Eps. 256 Beyond the New Normal: Building Strength After Cancer Through Nutrition and Empowerment with Dr. Amy Morris. Listen Now Rejecting the "New Normal" Mindset Beyond the physical aspects of healing, cancer survivors and thrivers often face a profound internal struggle: adjusting to a "new normal." While this phrase is meant to acknowledge the changes that come with cancer survivorship, it can also subtly reinforce a mindset of resignation—accepting fatigue, joint pain, or limitations as inevitable. However, you do not have to settle for a diminished quality of life. The post-cancer phase can instead be seen as an opportunity for transformation . By rejecting the "new normal" mindset, individuals can choose to pursue vitality, strength, and fulfillment . Progress may come in small, incremental steps, but each one is a powerful testament to resilience. A key part of this shift involves embracing small victories : choosing nourishing foods, committing to regular physical activity, seeking emotional support, or simply celebrating the return of energy and strength. Every positive choice builds momentum toward a life that is not defined by cancer, but empowered beyond it. Resources and community support also play a critical role. Educational materials, health coaches, support groups, and nutrition experts offer practical strategies and emotional encouragement. No one has to navigate this new chapter alone—building a personalized health team can make a profound difference. Community and Empowerment Navigating a cancer diagnosis can feel isolating, but you can often find strength and motivation through connection with others . Community support fosters accountability, provides inspiration, and reminds individuals that they are not alone in their pursuit of health and healing. Moreover, genetic counseling   can offer valuable insights for people diagnosed with cancer concerned about hereditary risks and future family planning. Discussions with healthcare providers about nutrition, lifestyle, and genetic factors empower survivors and thrivers with knowledge to make informed choices for themselves and their loved ones. Ultimately, thriving after cancer requires both internal and external resources : self-empowerment, community connection, informed choices, and holistic health strategies. Conclusion: Thriving, Not Just Surviving Recovery from cancer is not just about surviving—it's about thriving . Nutrition is a powerful tool for healing, and mindset is an equally vital force for transformation. By prioritizing intentional eating, rejecting the resignation of a "new normal," and embracing small victories, you can chart a new course toward strength, vitality, and joy. The path forward is not defined by limitations, but by the endless possibilities of a life reclaimed. Through education, community, nutrition, and empowerment, individuals can redefine what it means to live after cancer—building futures filled with hope, resilience, and vibrant health.

By Joseph J. Pinzone, MD, MBA, FACP Imagine a world where we can give tumors in the breast and elsewhere a literal “fever” and make our conventional therapies like chemotherapy and radiation work even better . Sounds like science fiction? Well, it’s not! It’s a reality with an advanced, ultrasound-based technique called hyperthermia therapy . As a physician, I’m thrilled to shed light on this remarkable therapy that’s been FDA-approved since 1987 but has been flying under the radar so that even many oncologists and radiation oncologists are not familiar with it. What is Hyperthermia Therapy? Hyperthermia therapy is a cutting-edge technique that treats breast cancer and other solid tumors by heating them to temperatures between 106°F and 109°F (41°C to 43°C). Rather than burning the tissue, the goal is to use heat to make cancer cells more receptive to other treatments. Think of hyperthermia as a way to supercharge your cancer treatments. By raising the temperature within the tumors, we make them more vulnerable to the powerful effects of chemotherapy, radiation, and even some advanced targeted therapies. How Can Hyperthermia Enhance Your Breast Cancer Treatment? Here’s the scoop in simple terms: Cancer cells can be under stress from rapid growth and poor blood supply. Heating these cells can amplify the impact of your other therapies in a few key ways: Boosting Therapy Delivery Many tumors have poorly developed blood vessels, which can make it hard for drugs like chemotherapy and targeted therapies to reach the center. Hyperthermia increases blood flow to the tumor, ensuring these treatments can penetrate more deeply. For radiation, increased blood flow delivers more oxygen to the tumor; this helps radiation work even better since radiation uses oxygen to damage DNA, thereby marking the cancer cells for programmed cell death. Strengthening DNA Damage Both radiation and many types of chemotherapy damage the DNA in cancer cells. Hyperthermia helps keep this damage intact, making it more likely that the cancer cells will undergo programmed cell death, also known as apoptosis. Activating Your Immune System Heating the tumor releases heat shock proteins (HSPs), which help reveal mutated cancer proteins to your immune system. This process boosts your body’s ability to target and destroy cancer cells more effectively. Minimal Side Effects: The Beauty of Hyperthermia One of the most exciting aspects of hyperthermia therapy is its gentle nature. Unlike many cancer treatments, it doesn’t involve harsh chemicals or damaging radiation. Most patients experience only mild effects, such as a warm sensation, slight reddening of the skin, or minor discomfort. These effects are usually short-lived and easy to manage, making hyperthermia a friendly addition to your treatment plan. Who Can Benefit from Hyperthermia? Hyperthermia isn’t a standalone treatment but works best when combined with other therapies. It can benefit many patients with breast cancer, including those with metastatic spread to deep or hard-to-reach locations. While hyperthermia holds tremendous promise, it’s not yet available everywhere. It requires specialized equipment and expertise, so you’ll need to find medical centers that offer this treatment. Fortunately, a growing number of clinics and research centers are now embracing this innovative approach.  Looking Ahead: The Future of Hyperthermia Therapy The future of hyperthermia therapy is incredibly bright. Ongoing research and technological advancements are making this treatment more precise and effective. Combining hyperthermia with other cutting-edge therapies could lead to even better outcomes for breast cancer patients. As we push the boundaries of cancer treatment, therapies like hyperthermia are making a real difference. By enhancing the effectiveness of existing treatments while aiming to keep side effects to a minimum, hyperthermia therapy is truly a game-changer in the fight against breast cancer. So, when you hear about the latest advancements in cancer care, remember that hyperthermia is not just a hot topic—it’s a fantastic way to make your treatments work even better. With minimal side effects and growing evidence of its effectiveness, hyperthermia therapy is poised to be a valuable ally in your cancer journey. Stay informed, stay optimistic, and let’s embrace these groundbreaking therapies that are paving the way for a brighter future. Warm regards (pun intended!), Joseph J. Pinzone, MD, MBA, FACP Chief Medical Officer Hyperthermia Cancer Institute www.hcioncology.com Note: This article offers general information and does not replace professional medical advice. Make sure to discuss your options with your healthcare provider. About the Author Dr. Joseph Pinzone is Chief Medical Officer of Hyperthermia Cancer Institute (HCI). He received his M.D. from NYU, completed residency in Internal Medicine at Columbia-Presbyterian Medical Center in N.Y. and fellowship in Endocrinology, Diabetes & Metabolism at Massachusetts General Hospital and Harvard Medical School where he secured an NIH grant to study pituitary tumors. He was on faculty at George Washington University School of Medicine and The Ohio State College of Medicine with a 5-year NIH grant to study breast cancer. Then at Amgen he was Director of Medical Affairs for the launch of XGEVA® a medication for patients with cancer and bone metastases. Dr. Pinzone has taught numerous students, physicians, & scientists and published scientific papers. He wrote & hosted a PBS TV show Innovation in Biologic and Biosimilar Medications  and appeared multiple times on the CBS TV series The Doctors . He was previously Assistant Professor of Clinical Medicine at David Geffen School of Medicine at UCLA. Hyperthermia Cancer Institute delivers FDA-approved therapy to heat tumors up to 109o F which kills cancer cells, induces an immune response and increases the effectiveness of chemotherapy and radiation therapy. Read More: Empowering Yourself: Questions to Ask Your Doctor After a Breast Cancer Diagnosis Why a Second Opinion Matters for Breast Cancer What is Breast Cancer Rehab? Nutrition, Mindset, and Empowerment: Thriving Beyond Cancer Managing Fatigue During Breast Cancer Treatment: Tips for Conserving Energy On the Podcast: Breast Cancer Conversations The Role of Advanced Imaging in Breast Cancer Diagnosis and Treatment Share your story, poetry, or art: https://www.survivingbreastcancer.org/submit-breast-cancer-story SurvivingBreastCancer.org Resources & Support: Podcast Weekly Meetup s Free Events

In the world of fitness and cancer rehabilitation, Pilates has emerged as a powerful tool for healing, especially for those navigating life during and after a breast cancer diagnosis. Known for improving core strength and flexibility, Pilates also supports emotional resilience and provides a gentle, effective path back to physical activity. This blog explores how Pilates supports breast cancer recovery, promotes mobility, and offers a holistic mind-body approach to wellness. Listen on the podcast: Breast Cancer Conversations. What Every Breast Cancer Survivor Needs to Know About Pilates What is Pilates? Originally developed by Joseph Pilates in the early 20th century, Pilates is a low-impact exercise method that focuses on core engagement, controlled movement, and mindful breathing. It draws inspiration from yoga, physical therapy, and bodyweight training, making it safe and adaptable for all fitness levels, including those recovering from illness or surgery. What sets Pilates apart is its focus on the "powerhouse," or the deep core muscles, including the abdominals, lower back, hips, and glutes. A strong core supports balance, posture, and overall stability, all of which can be compromised during cancer treatment. How Pilates Builds Strength After Cancer Unlike traditional strength training that often isolates large muscle groups, Pilates builds functional strength by engaging multiple muscle groups simultaneously —including the often-overlooked stabilizing muscles. Exercises like The Hundred , Leg Circles , and The Teaser  not only target the abs but also activate the arms, legs, and back for a full-body, integrated workout. For breast cancer survivors and thrivers, who may experience muscle atrophy, fatigue, or a limited range of motion following surgery or radiation, Pilates provides a gentle, effective way to rebuild strength without overexertion. It emphasizes quality over quantity, making it accessible even for those managing chronic pain or just beginning to reintroduce movement into their routine. Increasing Flexibility Through Pilates Flexibility loss is a common side effect of both cancer treatments and prolonged inactivity. Pilates helps restore range of motion with gentle stretches, spinal mobility exercises, and postural alignment. Movements like Spine Stretch Forward , The Saw , and Mermaid Stretch  lengthen muscles and open up tight areas, promoting better movement and comfort. For breast cancer patients, especially those who have undergone lymph node removal or mastectomies, this type of mindful stretching can help alleviate tightness, scar tissue discomfort, and joint stiffness, offering a safe way to regain confidence in their bodies. The Mind-Body Connection: A Holistic Approach to Healing Beyond the physical benefits, Pilates encourages mindfulness, emotional grounding, and stress relief—all essential during cancer recovery. Focusing on breath and alignment helps practitioners reconnect with their bodies after trauma or treatment. In a recent episode of Breast Cancer Conversations , podcast host and survivor Laura Carfang explored how movement became a lifeline during her own recovery. She emphasized that Pilates is more than just exercise—it’s an act of self-compassion and a tool to reclaim agency during a time when the body can feel unfamiliar or out of control. Building Community Through Movement Many cancer survivors find Pilates classes—whether in-person or virtual—to be a source of community and support. Moving together, sharing progress, and being seen in a safe space can boost motivation and emotional resilience. This shared experience helps reduce feelings of isolation and encourages regular practice. Whether it’s a local class or a free virtual session offered by nonprofits like SurvivingBreastCancer.org , movement becomes a gateway to connection, healing, and hope. Final Thoughts: Pilates as a Path to Empowerment Pilates is more than a workout—it’s a pathway to healing, strength, and flexibility for those living with and beyond cancer. With its gentle approach, focus on breath and control, and deep physical and emotional benefits, Pilates offers survivors a way to rebuild their bodies and reclaim their lives. Whether you're newly diagnosed, in treatment, or years into survivorship, Pilates can meet you where you are—empowering you to move with grace, strength, and purpose.